MEDICARE: EMBODIED LIVING COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1962358283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBODIED LIVING COUNSELING

Provider Business Mailing Address
First Line	:	7770 WESTSIDE DR APT 306
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1214
Country	:	US
Telephone Number	:	--
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	7770 WESTSIDE DR APT 306
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1214
Country	:	US
Telephone Number	:	--
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH CALABRESE
Credential	:
Telephone Number	:	--

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “EMBODIED LIVING COUNSELING ” Practice Location

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