MEDICARE: EMBRACE YOUR MIND AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1053208439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBRACE YOUR MIND AND WELLNESS

Provider Business Mailing Address
First Line	:	1025 W SAINT GEORGES AVE STE 5
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-6134
Country	:	US
Telephone Number	:	732-561-1178
Fax Number	:	732-561-1719

Provider Business Practice Location Address
First Line	:	1025 W SAINT GEORGES AVE STE 5
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-6134
Country	:	US
Telephone Number	:	732-561-1178
Fax Number	:	732-561-1719

Authorized Official
Title or Position	:	OWNER
Name	:	ERIKA SIMON
Credential	:	NP
Telephone Number	:	732-561-1178

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	05/29/2026

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Directions to “EMBRACE YOUR MIND AND WELLNESS ” Practice Location

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