Organization
EMBODIED BY ME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL LA'TRESE PINCKNEY CTRS, C-IAYT (OWNER)
(804) 944-5695
Entity
Organization
Contact information
Practice address
13918 SEATTLE SLEW LN, MIDLOTHIAN, VA 23112-1538
(804) 944-5695
Mailing address
PO BOX 4093, MIDLOTHIAN, VA 23112-0001
(804) 944-5695
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174400000X
Specialist
—
—
225800000X
Recreation Therapist
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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