Organization
EMBODIED PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LATIFSES PHD (CEO)
(361) 596-6424
Entity
Organization
Contact information
Practice address
1401 LAVACA ST # 308, AUSTIN, TX 78701-1634
(361) 596-6424
Mailing address
1401 LAVACA ST # 308, AUSTIN, TX 78701-1634
(361) 596-6424
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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