AUTHENTIC CONNECTION SERVICES PLLC NPI 1205600103

NPI Information

  • NPI: 1205600103
  • Provider Name: AUTHENTIC CONNECTION SERVICES PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1643 W FARRAGUT AVE APT 1
    CHICAGO, IL
    ZIP 60640
  • Phone: (314) 757-7241

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NPI Details

AUTHENTIC CONNECTION SERVICES PLLC is a professional counselor in Chicago, IL. AUTHENTIC CONNECTION SERVICES PLLC NPI is 1205600103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1643 W FARRAGUT AVE APT 1
CHICAGO, IL
ZIP 60640-881
Phone: (314) 757-7241

The provider's authorized official is Timothy Joseph Jordan .
The authorized official title is Owner/manager and has the following contact phone number (314) 757-7241.

The enumeration date for this NPI number is 11/10/2023 and was last updated on 11/10/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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