<Unavail>
LBN: Embrenche Llc
<Unavail> is an health care organization with primary practice located at 1001 S Marshall St Ste 262 1001 S Marshall Street Suite 262, Winston Salem NC 27101-5852. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Embrenche Llc can be contacted via phone (336) 722-8055, or through Hickman, Marty via phone (336) 624-9618.
Contact Information
Primary practice address
1001 S Marshall St Ste 262 1001 S Marshall Street Suite 262
Winston Salem NC 27101-5852
Phone: (336) 722-8055
Fax: (336) 722-4161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X |
Profile Details
| NPI number | 1295870194 |
|---|---|
| LBN Legal business name | Embrenche Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Hickman, Marty |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Sep 11th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295870194 | NPPES |
| North Carolina | MEDICAID | 6005992 |
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