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EMBODIED PRACTICE, LLC
NPI 1245063304
Counselor - Mental Health in Pensacola, FL

Active since August 23, 2024
4300 BAYOU BLVD STE 25B, PENSACOLA, FL 32503(850) 390-4213 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2025, Aug 23, 2024 (2 updates tracked since 2024).

About Embodied Practice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMBODIED PRACTICE, LLC (NPI 1245063304) is a healthcare organization registered as a mental health in Pensacola, Florida and active in the NPI registry since August 2024. The organization lists Lauren Soutullo, Owner, as its authorized official.

NPPES Registry Identity

NPI1245063304
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEMBODIED PRACTICE, LLC
Location Address4300 BAYOU BLVD STE 25BPensacola, FL 32503-2671
Mailing Address4300 Bayou Blvd Ste 25bPensacola, FL 32503-2671 · (850) 390-4213
Phone(850) 390-4213
Organization SubpartNo
Authorized OfficialLauren SoutulloOwner · (850) 390-4213
Enumeration DateAugust 23, 2024
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1245063304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4300 BAYOU BLVD STE 25B, Pensacola, FL 32503
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KASPER COUPLE & FAMILY THERAPY, LLC
Marriage & Family Therapist
4300 BAYOU BLVD STE 25B
PENSACOLA, FL 32503
Escambia County (850) 889-1119
ANNA CATHLEEN CAMPION MSW
Social Worker (Clinical)
4300 BAYOU BLVD STE 25B
PENSACOLA, FL 32503
Escambia County (850) 710-0787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Embodied Practice, LLC's NPI number?

The NPI number for Embodied Practice, LLC is 1245063304. It was assigned to this organization in the NPPES registry on August 23, 2024.

Where is Embodied Practice, LLC located?

Embodied Practice, LLC is located at 4300 Bayou Blvd Ste 25B, Pensacola, FL 32503. The listed phone number is (850) 390-4213.

What is Embodied Practice, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Embodied Practice, LLC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.