AUTHENTIC SELF PSYCHOTHERAPEUTIC SERVICES NPI 1982129821

NPI Information

NPI: 1982129821
Provider Name: AUTHENTIC SELF PSYCHOTHERAPEUTIC SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1920 PALM BEACH LAKES BLVD STE 206
WEST PALM BEACH, FL
ZIP 33409
Phone: (561) 207-7702
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AUTHENTIC SELF PSYCHOTHERAPEUTIC SERVICES is a mental health (including community mental health center) clinic center in West Palm Beach, FL. AUTHENTIC SELF PSYCHOTHERAPEUTIC SERVICES NPI is 1982129821. The provider is registered as an organization entity type.

The provider's business location address is:

1920 PALM BEACH LAKES BLVD STE 206
WEST PALM BEACH, FL
ZIP 33409-506
Phone: (561) 207-7702
Fax: (561) 207-7702

The provider's authorized official is Jasset Smith .
The authorized official title is Licensed Psychologist and has the following contact phone number (954) 445-2181.

The enumeration date for this NPI number is 8/11/2017 and was last updated on 6/16/2018.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	PY9755	FLORIDA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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