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Organization
AUTHENTICITY RECOVERY LLC
Active
Organization
AUTHENTICITY RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTYNE LEE ORTQUIST LPC (CLINICAL DIRECTOR)
(616) 638-7408
Entity
Organization
Contact information
Practice address
4500 CASCADE RD SE STE 102, GRAND RAPIDS, MI 49546-3665
(616) 638-7408
Mailing address
4500 CASCADE RD SE STE 102, GRAND RAPIDS, MI 49546-3665
(616) 638-7408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
07/30/2025
Last updated
10/25/2025
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