Healthcare Provider Details

I. General information

NPI: 1336001312
Provider Name (Legal Business Name): UNITED EMBRACE FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 WAKE FOREST RD STE 349
RALEIGH NC
27609-0010
US

IV. Provider business mailing address

50 E MAIN ST STE 100
THOMASVILLE NC
27360-4000
US

V. Phone/Fax

Practice location:
  • Phone: 980-643-1996
  • Fax:
Mailing address:
  • Phone: 980-643-1996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RUTH NAOMA HUMPAL
Title or Position: CEO/MEMBER
Credential:
Phone: 313-742-2204