Organization · NPI-2

Embody Wellness, PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Rockwall, TX

NPI number1427915693
StatusActive
Last updated in NPPESJan 8, 2026

Details

NPI
1427915693
Entity type
Organization (NPI-2)
Legal business name
Embody Wellness, PLLC
Organization subpart
No
Enumeration date
Jan 8, 2026
Certification date
Jan 6, 2026
Last updated
Jan 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2794 South Goliad Street
Rockwall, TX 75087

Phone 469-269-5324

Mailing address

2703 Vz County Road 4414
Canton, TX 75103-5984

Phone 469-269-4325

Authorized official

Dara Hendon
Owner
4692695324

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