Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Embodied Practice, LLC

Organization Mental Health Counselor · NPI 1245063304

Embodied Practice, LLC is a Mental Health Counselor in Pensacola, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4300 Bayou Blvd Ste 25B
Pensacola, FL 32503-2671
Phone: (850) 390-4213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1245063304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Soutullo — Owner · (850) 390-4213
NPI enumeratedAugust 23, 2024
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address4300 Bayou Blvd Ste 25b, Pensacola, FL 32503-2671

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