Healthcare Provider Details

I. General information

NPI: 1225726953
Provider Name (Legal Business Name): EMBRACE PATHWAYS ORLANDO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 S HIAWASSEE RD STE 113
ORLANDO FL
32835-5706
US

IV. Provider business mailing address

1507 S HIAWASSEE RD STE 113
ORLANDO FL
32835-5706
US

V. Phone/Fax

Practice location:
  • Phone: 407-536-6580
  • Fax: 617-221-5680
Mailing address:
  • Phone: 407-536-6580
  • Fax: 617-221-5680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA MELLO MUNIZ
Title or Position: CEO
Credential:
Phone: 781-420-9953