| Authentic Self Psychotherapeutic Services | |
|
1920 Palm Beach Lakes Blvd Ste 206 West Palm Beach FL 33409-3506 | |
| (561) 207-7702 | |
| (561) 207-7702 |
| Full Name | Authentic Self Psychotherapeutic Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1920 Palm Beach Lakes Blvd Ste 206, West Palm Beach, Florida |
| Authorized Official Name and Position | Jasset Smith (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9544452181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Self Psychotherapeutic Services 1920 Palm Beach Lakes Blvd Ste 206 West Palm Beach FL 33409-3506 Ph: () - | Authentic Self Psychotherapeutic Services 1920 Palm Beach Lakes Blvd Ste 206 West Palm Beach FL 33409-3506 Ph: (561) 207-7702 |
| NPI Number | 1982129821 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982129821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PY9755 (Florida) | Primary |
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