| Authentic Self Holistic Psychotherapy Llc | |
|
7989 Myers Lake Ave Ne Rockford MI 49341-9634 | |
| (616) 498-2566 | |
| Not Available |
| Full Name | Authentic Self Holistic Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7989 Myers Lake Ave Ne, Rockford, Michigan |
| Authorized Official Name and Position | Denise Potter (THERAPIST) |
| Authorized Official Contact | 6164982566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Self Holistic Psychotherapy Llc 7989 Myers Lake Ave Ne Rockford MI 49341-9634 Ph: (616) 498-2566 | Authentic Self Holistic Psychotherapy Llc 7989 Myers Lake Ave Ne Rockford MI 49341-9634 Ph: (616) 498-2566 |
| NPI Number | 1316740046 |
|---|---|
| Provider Enumeration Date | 03/28/2025 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316740046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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