Organization
EMBRACING AUTHENTICITY INC
Active
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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