EMBODIED ESSENCE, PLLC
NPI 1275415184
Counselor - Professional in Longmont, CO

Active since July 22, 2025
421 21ST AVE, LONGMONT, CO 80501(720) 772-1606 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About EMBODIED ESSENCE, PLLC

This page provides the complete NPI Profile along with additional information for Embodied Essence, Pllc, a provider established in Longmont, Colorado operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1275415184 assigned on July 2025. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated one year ago. Embodied Essence, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Leah Staller (Owner)

NPI
1275415184 Verify this NPI
Provider Name
EMBODIED ESSENCE, PLLC
Entity Type
Organization
Location Address
421 21ST AVE LONGMONT, CO 80501
Location Phone
(720) 772-1606
Mailing Address
3587 NYLAND WAY LAFAYETTE, CO 80026
Mailing Phone
(720) 772-1606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2025
Last Update Date
07-22-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEAH STALLER

Authorized Official Title
OWNER
Authorized Official Phone
(720) 772-1606

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Chiropractor (Orthopedic)
421 21ST AVE, SUITE 41
LONGMONT, CO 80501
Counselor (Professional)
421 21ST AVE, SUITE 4
LONGMONT, CO 80501
Chiropractor
421 21ST AVE
LONGMONT, CO 80501
Chiropractor (Orthopedic)
421 21ST AVE, SUITE 2
LONGMONT, CO 80501
Massage Therapist
421 21ST AVE
LONGMONT, CO 80501
Counselor (Mental Health)
421 21ST AVE
LONGMONT, CO 80501
Chiropractor (Orthopedic)
421 21ST AVE, SUITE 40
LONGMONT, CO 80501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275415184, enumerated as an "organization" on July 22, 2025.

The provider is located at 421 21ST AVE LONGMONT, CO 80501 and the phone number is (720) 772-1606.

Counselor with taxonomy code 101YP2500X and a focus in Professional.