AUTHENTIC LIVING


Address: 315 W Ponce De Leon Ave, Suite 835, Decatur, GA 30030-2400
Phone: 4042951359

AUTHENTIC LIVING (NPI# 1659804300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659804300
Entity Type Organization
Organization Name AUTHENTIC LIVING
Practice Address 315 W Ponce De Leon Ave
Suite 835
Decatur
GA 30030-2400
Practice Telephone 4042951359
Mailing Telephone 4042951359
Enumeration Date 2017-04-10
Last Update Date 2017-04-10
Authorized Official Name MS. REBECCA CLEGG (OWNER & EXECUTIVE DIRECTOR)
Authorized Official Telephone 4042951359
Authorized Official Credential MS, LPC, CEDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC004898 GA Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780821306 Authentic Living Counselor 1110 Rose Hill Dr., Suite 200, Charlottesville, VA 22903 2009-01-20

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Authentic Living 1110 Rose Hill Drive Suite 200, Charlottesville, Virginia 22903
Colorado Business Entities Authentic Living Colorado LLC 2855 N Speer Blvd, Denver, CO 80211
Colorado Business Entities Authentic Living Heartland, LLC 19581 Road 31, Dolores, CO 81321
New York State Corporations AUTHENTIC LIVING LLC 1080 Bergen St #284, Brooklyn, New York 11216
Colorado Business Entities Authentic Living Psychotherapy LLC 445 Valley View Dr, Boulder, CO 80304
Oregon Corporations, Companies and Business Names AUTHENTIC LIVING TV LLC 144 Wagner Butte Rd, Talent, OR 97540
Washington State Corporations AUTHENTIC LIVING WITH JOY, LLC 181 Wood Rose Ct, Cle Elum, WA 98922
Oregon Corporations, Companies and Business Names AUTHENTIC LIVING, LLC 19968 Sw Doma Ln #41, Aloha, OR 97003
Colorado Business Entities Authentic Living, LLC 2537 Laporte Ave. #2, Fort Collins, CO 80521

Office Location

Street Address 315 W PONCE DE LEON AVE
SUITE 835
City DECATUR
State GA
Zip Code 30030-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902878853 Sharman Dyan Colosetti Social Worker 315 W Ponce De Leon Ave, Suite 840, Decatur, GA 30030-2400 2006-02-05
1063045748 Jacqueline Frances Conway Counselor 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 2020-02-20
1821621533 Lewis Ponzo Counselor 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 2020-02-20
1114429412 Revere Counseling and Care Management LLC Social Worker 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30030 2018-03-02
1689182263 Stephanie Lynn Roach Social Worker 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30033 2018-01-17
1205379773 Katie Leikam Social Worker 315 W Ponce De Leon Ave, Suite 847, Decatur, GA 30030-2400 2016-11-30
1144680562 Sarra Everett Counselor 315 W Ponce De Leon Ave, Suit 440, Decatur, GA 30030-2400 2016-02-26
1821495987 Byers Psychological Services LLC Psychologist 315 W Ponce De Leon Ave, Suite 1051, Decatur, GA 30030-2400 2014-12-04
1205182151 Rainbow Counseling & Consultation Services LLC Psychologist 315 W Ponce De Leon Ave, Decatur Court Ste 552, Decatur, GA 30030-2400 2012-07-30
1932461563 National Youth Advocate Program Community/Behavioral Health 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 2012-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801413174 Pa-c Surgical Assist, LLC Clinic/Center 520 W Ponce Leon Ave #1706, Decatur, GA 30030 2020-07-02
1417587478 Elizabeth Heffron Acupuncturist 619b East College Avenue, Decatur, GA 30030 2020-01-17
1669016143 Atlanta Upper Cervical Chiropractic LLC Chiropractor 125 E Trinity Place, Suite #247, Decatur, GA 30030 2019-10-29
1831757418 Jessica Stewart Counselor 755 Commerce Dr Ste 903, Decatur, GA 30030 2019-05-30
1699238733 Dinah Augustin Registered Nurse 1458 Church St., Unit B, Decatur, GA 30030 2019-04-06
1093284291 Eliza Segell Social Worker 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 2018-11-16
1912476466 Positive Impact Health Centers, Inc. Pharmacy 523 Church Street, Suite B, Decatur, GA 30030 2018-11-14
1932685096 T2 Imaging Radiology 1376 Church Street, Suite 100, Decatur, GA 30030 2018-07-12
1992292858 Keeanna M Powell Counselor Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 2018-04-17
1780185488 Solutions Ae Inc Counselor One West Square Court, Suite 710, Decatur, GA 30030 2018-02-27
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598363392 Kimberly Swanson Counselor 311 West Hill Street, Decatur, GA 30030-4319 2020-10-14
1083228050 Lasonja D Carter Counselor 2920 Frost Dr Sw, Decatur, AL 35603-4531 2020-09-07
1154935468 Nick Hersey Counselor 1924 Clairmont Rd Ste 50, Decatur, GA 30033-3450 2020-09-03
1760095814 Potters Touch Counseling Inc. Counselor 4150 Snapfinger Woods Dr Ste 100, Decatur, GA 30035-3417 2020-08-28
1407464563 Starre Cannon Counselor 3183 Tarian Way, Decatur, GA 30034-5539 2020-07-15
1164040713 Bethany Cecelia Merrett Counselor 223 Kathryn Ave, Decatur, GA 30030-5017 2020-07-09
1053939090 Virtue Speaks LLC Counselor 4150 Snapfinger Woods Dr Ste 104d, Decatur, GA 30035-3417 2020-07-07
1821619842 Knitikia Gross Counselor 436 Eastwyck Cir, Decatur, GA 30032-6694 2020-04-30
1063033074 Marcy Renee Jefferson-watkins Counselor 2126 6th Ave Se Ste 208, Decatur, AL 35601-6547 2020-04-30
1790304004 Tonia D Morris Counselor 3006 Western Sunset Ct, Decatur, GA 30034-1692 2020-04-16
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Competitor

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City DECATUR
Zip Code 30030

Improve Information

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Dataset Information

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.

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