| Authentically You, Llc | |
|
109 Nature Walk Pkwy Unit 104 Saint Augustine FL 32092-5065 | |
| (904) 629-1565 | |
| (904) 562-3465 |
| Full Name | Authentically You, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 Nature Walk Pkwy Unit 104, Saint Augustine, Florida |
| Authorized Official Name and Position | Amanda Payne (OWNER) |
| Authorized Official Contact | 9046291565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentically You, Llc 109 Nature Walk Pkwy Unit 104 Saint Augustine FL 32092-5065 Ph: (904) 629-1565 | Authentically You, Llc 109 Nature Walk Pkwy Unit 104 Saint Augustine FL 32092-5065 Ph: (904) 629-1565 |
| NPI Number | 1326559097 |
|---|---|
| Provider Enumeration Date | 10/20/2017 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326559097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH13243 (Florida) | Primary |
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