MEDICARE: EMBODIED WELLNESS AND RECOVERY, P.C.

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1689527467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBODIED WELLNESS AND RECOVERY, P.C.

Provider Business Mailing Address
First Line	:	2160 ABIFF RD
Second Line	:
City	:	BURNS
State	:	TN
Zip	:	37029-5410
Country	:	US
Telephone Number	:	310-210-7934
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 S BARRINGTON AVE STE 215
Second Line	:
City	:	WEST LOS ANGELES
State	:	CA
Zip	:	90025-5385
Country	:	US
Telephone Number	:	310-210-7934
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAUREN ROSE DUMMIT
Credential	:	LMFT, PH.D
Telephone Number	:	310-210-7934

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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