| Authentic Living | |
|
315 W Ponce De Leon Ave Suite 835 Decatur GA 30030-2400 | |
| (404) 295-1359 | |
| Not Available |
| Full Name | Authentic Living |
|---|---|
| Speciality | Counselor - Professional |
| Location | 315 W Ponce De Leon Ave, Decatur, Georgia |
| Authorized Official Name and Position | Rebecca Clegg (OWNER & EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4042951359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Living 315 W Ponce De Leon Ave Suite 835 Decatur GA 30030-2400 Ph: (404) 295-1359 | Authentic Living 315 W Ponce De Leon Ave Suite 835 Decatur GA 30030-2400 Ph: (404) 295-1359 |
| NPI Number | 1659804300 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659804300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004898 (Georgia) | Primary |
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