Healthcare Provider Details

I. General information

NPI: 1093258048
Provider Name (Legal Business Name): EMBRACING BALANCE COUNSELING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 GROVE AVENUE
WINTER PARK FL
32789
US

IV. Provider business mailing address

PO BOX 913
GOLDENROD FL
32733-0913
US

V. Phone/Fax

Practice location:
  • Phone: 407-496-8263
  • Fax: 407-955-4148
Mailing address:
  • Phone: 407-496-8263
  • Fax: 407-955-4148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH14406
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMH14406
License Number StateFL

VIII. Authorized Official

Name: MRS. SARAH MARIE HOSKENS HELMAN
Title or Position: OWNER/THERAPIST
Credential: LMHC
Phone: 407-496-8263