Healthcare Provider Details

I. General information

NPI: 1073447439
Provider Name (Legal Business Name): ENBRACE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 THURSTON ST
WINSTON SALEM NC
27103-1731
US

IV. Provider business mailing address

303 THURSTON ST
WINSTON SALEM NC
27103-1731
US

V. Phone/Fax

Practice location:
  • Phone: 336-283-5027
  • Fax:
Mailing address:
  • Phone: 336-283-5027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: TAMEKA LITTLE
Title or Position: PRESIDENT/OWNER
Credential: LMBT
Phone: 336-624-4748