Organization
EMBRACE YOUR LIGHT COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY FOWLER LCPC (OWNER/PSYCHOTHERAPIST)
(443) 267-6204
Entity
Organization
Contact information
Practice address
10999 RED RUN BLVD, STE 205 #181, OWINGS MILLS, MD 21117
(443) 267-6204
Mailing address
10999 RED RUN BLVD, STE 205 #181, OWINGS MILLS, MD 21117
(443) 267-6204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033671425
—
MD
Enumeration date
11/13/2020
Last updated
11/13/2020
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