| Authentic Life Mental Health Counseling, Pllc | |
|
1051 Danby Rd Apt 2 Ithaca NY 14850-5721 | |
| (201) 903-2461 | |
| Not Available |
| Full Name | Authentic Life Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1051 Danby Rd Apt 2, Ithaca, New York |
| Authorized Official Name and Position | Stephanie Ann Mankowski (PSYCHOTHERAPIST AND OWNER) |
| Authorized Official Contact | 2019032461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Life Mental Health Counseling, Pllc 2604 Elmwood Ave Pmb 133 Rochester NY 14618 Ph: (201) 903-2461 | Authentic Life Mental Health Counseling, Pllc 1051 Danby Rd Apt 2 Ithaca NY 14850-5721 Ph: (201) 903-2461 |
| NPI Number | 1871326330 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 07/15/2025 |
| Certification Date | 07/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871326330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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