Organization
LOVING EMBODIMENT LLC
Active
Other names
Loving Embodiment LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CORRIANNE BRONER LPCC (OWNER, HEAD THERAPIST)
(505) 307-6476
Entity
Organization
Contact information
Practice address
624 E MAIN ST, TUCUMCARI, NM 88401-2250
(505) 307-6476
Mailing address
PO BOX 107, TUCUMCARI, NM 88401-0107
(505) 307-6476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
08/18/2025
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