# EMBODIED BY ME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659242949
- **Authorized official:** KRYSTAL LA'TRESE PINCKNEY CTRS, C-IAYT (OWNER)
- **Authorized official phone:** (804) 944-5695

## Contact information

- **Practice address:** 13918 SEATTLE SLEW LN, MIDLOTHIAN, VA 23112-1538
- **Practice address phone:** (804) 944-5695
- **Mailing address:** PO BOX 4093, MIDLOTHIAN, VA 23112-0001
- **Mailing address phone:** (804) 944-5695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 225800000X | Recreation Therapist | — | NULL | — |
| 225800000X | Recreation Therapist | — | — | — |
| 374J00000X | Doula | — | NULL | Yes |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2025
- **Last updated:** 09/17/2025