Provider Demographics
NPI:1790660579
Name:EMBODY THE TEMPLE HEALING ARTS, LLC
Entity type:Organization
Organization Name:EMBODY THE TEMPLE HEALING ARTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:SARAH
Authorized Official - Last Name:ARCE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:585-455-4670
Mailing Address - Street 1:700 FRONT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1805
Mailing Address - Country:US
Mailing Address - Phone:720-507-4417
Mailing Address - Fax:
Practice Address - Street 1:700 FRONT ST STE 102
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1805
Practice Address - Country:US
Practice Address - Phone:720-507-4417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty