Authentic Self Therapy Pllc

LBN: Authentic Self Therapy Pllc
Authentic Self Therapy Pllc is an health care organization with primary practice located at 407 Cedarwood Ct , Waite Park MN 56387-4504. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Authentic Self Therapy Pllc can be contacted via phone (701) 552-2992, or through Johnson, Nicolette R via phone (701) 552-2992.

Contact Information

Primary practice address
407 Cedarwood Ct Waite Park MN 56387-4504
Phone: (701) 552-2992
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Nicolette R LPCC; LADC/LMAC
Phone: (701) 552-2992

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1255013504
LBN Legal business name Authentic Self Therapy Pllc
DBA Doing business as
Authorized official Johnson, Nicolette R LPCC; LADC/LMAC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2023
Last updated Aug 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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