Healthcare Provider Details

I. General information

NPI: 1487591996
Provider Name (Legal Business Name): EMBRACIN MENTAL AWARENESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1284 E 168TH ST # DN
CLEVELAND OH
44110-1562
US

IV. Provider business mailing address

1280 E 168TH ST DN
CLEVELAND OH
44110-1562
US

V. Phone/Fax

Practice location:
  • Phone: 440-581-5947
  • Fax:
Mailing address:
  • Phone: 440-581-5947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. ELEANOR RENEE TYE
Title or Position: CEO
Credential: IP
Phone: 440-581-5947