Healthcare Provider Details

I. General information

NPI: 1063367159
Provider Name (Legal Business Name): EMBRACE BEHAVIORAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 SE 47TH ST UNIT I-3
CAPE CORAL FL
33904-9692
US

IV. Provider business mailing address

12150 SW 128TH CT STE 220
MIAMI FL
33186-4674
US

V. Phone/Fax

Practice location:
  • Phone: 305-964-7135
  • Fax:
Mailing address:
  • Phone: 305-964-7135
  • Fax: 786-814-0732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JULIET ARRUE GONZALEZ
Title or Position: OWNER
Credential:
Phone: 305-964-7135