| Authentic Healing Llc | |
|
554 Shorebird Way Imperial Beach CA 91932-2155 | |
| (402) 990-9912 | |
| Not Available |
| Full Name | Authentic Healing Llc |
|---|---|
| Speciality | Counselor |
| Location | 554 Shorebird Way, Imperial Beach, California |
| Authorized Official Name and Position | Kathleen Shearman (OWNER) |
| Authorized Official Contact | 4029909912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Healing Llc 554 Shorebird Way Imperial Beach CA 91932-2155 Ph: (402) 990-9912 | Authentic Healing Llc 554 Shorebird Way Imperial Beach CA 91932-2155 Ph: (402) 990-9912 |
| NPI Number | 1255040812 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Medicare PECOS PAC ID | 3173967973 |
|---|---|
| Medicare Enrollment ID | O20240220004228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255040812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathleen Erin Shearman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770016933 PECOS PAC ID: 3173936507 Enrollment ID: I20240220004324 |
Mcalister Institute For Treatment & Education, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Elm Ave, Imperial Beach, CA 91932 Phone: 619-691-1045 | |
Seacoast Behavior, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 536 Shorebird Way, Imperial Beach, CA 91932 Phone: 757-404-8176 |