Organization
ESSENTIAL EMBRACE HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE SANDERS (MANAGER)
(502) 630-2036
Entity
Organization
Contact information
Practice address
1025 23RD ST S STE 379, BIRMINGHAM, AL 35205-2499
(205) 693-8309
(205) 213-7001
Mailing address
529 HUFFMAN RD, BIRMINGHAM, AL 35215-8314
(205) 693-8309
(205) 213-7001
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
TAXONOMY
AL
Enumeration date
04/29/2022
Last updated
11/08/2023
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