| Authentic Self Counseling Group, Llc | |
|
3150 Sw 38th Ave Ste 1320-a Coral Gables FL 33146-1531 | |
| (305) 929-3598 | |
| Not Available |
| Full Name | Authentic Self Counseling Group, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3150 Sw 38th Ave Ste 1320-a, Coral Gables, Florida |
| Authorized Official Name and Position | Daniel Sheridan (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3059293598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Self Counseling Group, Llc 300 Granello Ave Apt 561 Coral Gables FL 33146-1945 Ph: () - | Authentic Self Counseling Group, Llc 3150 Sw 38th Ave Ste 1320-a Coral Gables FL 33146-1531 Ph: (305) 929-3598 |
| NPI Number | 1558918623 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558918623 | NPI | - | NPPES |
| 1275029548 | Other | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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