MEDICARE: EMBRACIN MENTAL AWARENESS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251K00000X	Public Health or Welfare Agency
3	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1487591996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBRACIN MENTAL AWARENESS

Provider Business Mailing Address
First Line	:	1280 E 168TH ST
Second Line	:	DN
City	:	CLEVELAND
State	:	OH
Zip	:	44110-1562
Country	:	US
Telephone Number	:	440-581-5947
Fax Number	:

Provider Business Practice Location Address
First Line	:	1284 E 168TH ST # DN
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-1562
Country	:	US
Telephone Number	:	440-581-5947
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. ELEANOR RENEE TYE
Credential	:	IP
Telephone Number	:	440-581-5947

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

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