Organization
EMBODIED ESSENCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANELL ALLEVA LCSW (OWNER/CLINICIAN)
(505) 609-8519
Entity
Organization
Contact information
Practice address
925 S BROADWAY STE 231, CORTEZ, CO 81321-4033
(505) 609-8519
Mailing address
925 S BROADWAY STE 234, CORTEZ, CO 81321-4074
(505) 609-8519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
01/14/2026
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