# AUTHENTIC LIFE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710758446
- **Authorized official:** RANDALL HAGER LMHP (OWNER)
- **Authorized official phone:** (402) 213-0244

## Contact information

- **Practice address:** 8790 F ST, OMAHA, NE 68127-1524
- **Practice address phone:** (402) 213-0244
- **Practice address fax:** (402) 702-1540
- **Mailing address:** 8790 F ST, OMAHA, NE 68127-1524
- **Mailing address phone:** (402) 213-0244
- **Mailing address fax:** (402) 702-1540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2024
- **Last updated:** 01/11/2024