AUTHENTIC LIVING NPI 1659804300

NPI Information

AUTHENTIC LIVING is a professional counselor in Decatur, GA. AUTHENTIC LIVING NPI is 1659804300. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

315 W PONCE DE LEON AVE
SUITE 835
DECATUR, GA
ZIP 30030-400
Phone: (404) 295-1359

The provider's authorized official is Rebecca Clegg .
The authorized official title is Owner & Executive Director and has the following contact phone number (404) 295-1359.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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