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Organization

EMBRACING AUTHENTICITY INC

Active
Other names
New Beginnings Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLY D.L. LEBARON PH.D., LMFT (PRESIDENT/CEO)
(435) 915-6398
Entity
Organization

Contact information

Practice address
95 GOLF COURSE RD STE 105, LOGAN, UT 84321-5990
(435) 915-6398
Mailing address
576 N 470 E, PROVIDENCE, UT 84332-8901
(435) 764-5186

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
03/07/2024
Last updated
03/07/2024
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