Healthcare Provider Details

I. General information

NPI: 1437074713
Provider Name (Legal Business Name): EMBRACE PATHWAYS TO WELLNESS FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 S HIAWASSEE RD STE 114
ORLANDO FL
32835-5706
US

IV. Provider business mailing address

1507 S HIAWASSEE RD STE 114
ORLANDO FL
32835-5706
US

V. Phone/Fax

Practice location:
  • Phone: 321-405-2773
  • Fax: 617-221-5680
Mailing address:
  • Phone: 321-405-2773
  • 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 Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA MELLO MUNIZ
Title or Position: CEO
Credential:
Phone: 617-804-2773