AUTHENTIC LIVING CENTER LLC NPI 1962117101

NPI Details

AUTHENTIC LIVING CENTER, LLC is a community behavioral health in Clearwater, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. AUTHENTIC LIVING CENTER, LLC NPI is 1962117101. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Karmivis Santiago, Lmhc.

The provider's business location address is:

25400 US HIGHWAY 19 N STE 156
CLEARWATER, FL
ZIP 33763-150
Phone: (727) 480-0107
Fax: (727) 499-7555

The provider's authorized official is Karmivis Santiago .
The authorized official title is Ceo/provider and has the following contact phone number (727) 480-0107.

The enumeration date for this NPI number is 1/23/2023 and was last updated on 4/26/2023.

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: