AUTHENTIC SELF COUNSELING GROUP, LLC (NPI# 1558918623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558918623 |
Entity Type | Organization |
Organization Name | AUTHENTIC SELF COUNSELING GROUP, LLC |
Practice Address |
3150 Sw 38th Ave Ste 1320-a Coral Gables FL 33146-1531 |
Mailing Address |
300 Granello Ave Apt 561 Coral Gables FL 33146-1945 |
Practice Telephone | 3059293598 |
Enumeration Date | 2019-08-22 |
Last Update Date | 2019-08-22 |
Authorized Official Name | DR. DANIEL SHERIDAN (LICENSED PSYCHOLOGIST) |
Authorized Official Telephone | 3059293598 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI NUMBER | 1275029548 | 01 |
Other Name | Type Code |
---|---|
Authentic Self Counseling and Testing | Doing Business As Name - Organization |
Street Address |
3150 SW 38TH AVE STE 1320-A |
City | CORAL GABLES |
State | FL |
Zip Code | 33146-1531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649829763 | Shaina C Fieldstone | Psychologist | 3150 Sw 38th Ave Ste 1320-a, Coral Gables, FL 33146-1531 | 2019-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
Find all providers in zip 33146 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114536810 | Higher Limit Medical Center Corp | Clinic/Center | 747 Ponce De Leon Blvd Ste 303, Coral Gables, FL 33134-2072 | 2020-07-28 |
1225452634 | Intrinsic Health Center, Inc. | Clinic/Center | 2103 Sw 22nd St, Ste. 110, Coral Gables, FL 33145-2601 | 2014-02-06 |
1740492198 | United Mental Health Center Inc | Clinic/Center | 4742 W Flagler St, Coral Gables, FL 33134-1452 | 2007-05-05 |
1497884878 | Counseling & Hypnosis Associates | Clinic/Center | 3119 Coral Way, Suite 200, Coral Gables, FL 33145-3209 | 2007-03-03 |
1689621112 | Family, Adult & Child Enrichment Services, Inc. | Clinic/Center | 3001 Ponce De Leon Blvd, Suite 102, Coral Gables, FL 33134-6824 | 2006-05-29 |
1457319451 | Miami Behavioral Health Center Inc | Clinic/Center | 3850 W Flagler St, Coral Gables, FL 33134-1604 | 2006-05-02 |
1932665510 | Healchoice Corp | Clinic/Center | 3970 W Flagler St, Coral Gables, FL 33134-1642 | 2019-02-19 |
1558747964 | Raquel Valdivia, Lmhc, Pa | Clinic/Center | 2100 Ponce De Leon Blvd, Suite 1015, Coral Gables, FL 33134-5215 | 2015-08-07 |
1790189405 | Dln Behavioral, Inc. | Clinic/Center | 2100 Ponce De Leon Blvd Ste 1015, Coral Gables, FL 33134-5240 | 2014-10-09 |
1609980408 | Murphys Plus Corp | Clinic/Center | 401 Miracle Mile, Suite 304, Coral Gables, FL 33134-4930 | 2006-08-18 |
Find all providers in CORAL GABLES |
City | CORAL GABLES |
Zip Code | 33146 |
Please comment or provide details below to improve the information on AUTHENTIC SELF COUNSELING GROUP, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.