Provider Demographics
NPI:1326924507
Name:EMBRACE CHILDBIRTH & LACTATION LLC
Entity type:Organization
Organization Name:EMBRACE CHILDBIRTH & LACTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:CLC
Authorized Official - Phone:530-414-1348
Mailing Address - Street 1:764 KYNDAL CT
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89460-7570
Mailing Address - Country:US
Mailing Address - Phone:530-414-1348
Mailing Address - Fax:
Practice Address - Street 1:764 KYNDAL CT
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89460-7570
Practice Address - Country:US
Practice Address - Phone:530-414-1348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty