Organization
EMBODIMENT PSYCHOLOGY GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LAFACE (OWNER)
(213) 249-0118
Entity
Organization
Contact information
Practice address
415 N CAMDEN DR STE 214, BEVERLY HILLS, CA 90210-4439
(213) 249-0118
Mailing address
415 N CAMDEN DR STE 214, BEVERLY HILLS, CA 90210-4439
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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