| Authentic Therapy Center | |
|
322 W Bearss Ave Tampa FL 33613-1228 | |
| (656) 600-7443 | |
| (954) 944-0308 |
| Full Name | Authentic Therapy Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 322 W Bearss Ave, Tampa, Florida |
| Authorized Official Name and Position | Alexis Marx (OWNER) |
| Authorized Official Contact | 6566007443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Therapy Center 322 W Bearss Ave Tampa FL 33613-1228 Ph: (656) 600-7443 | Authentic Therapy Center 322 W Bearss Ave Tampa FL 33613-1228 Ph: (656) 600-7443 |
| NPI Number | 1225713415 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225713415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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