Healthcare Provider Details
I. General information
NPI: 1023959590
Provider Name (Legal Business Name): EMBRACE FAMILY THERAPY AND WELLNESS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
104 W I ST
BRAWLEY CA
92227-2364
US
IV. Provider business mailing address
104 W I ST
BRAWLEY CA
92227-2364
US
V. Phone/Fax
- Phone: 442-442-0615
- Fax:
- Phone: 442-442-0615
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IRENE
DRYE
Title or Position: LMFT/OWNER
Credential: LMFT
Phone: 442-442-0615