Organization
AUTHENTICALLY YOU, LLC
Active
Organization
AUTHENTICALLY YOU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PAYNE LMHC (OWNER)
(904) 629-1565
Entity
Organization
Contact information
Practice address
109 NATURE WALK PKWY UNIT 104, SAINT AUGUSTINE, FL 32092-5065
(904) 629-1565
(904) 562-3465
Mailing address
109 NATURE WALK PKWY UNIT 104, SAINT AUGUSTINE, FL 32092-5065
(904) 629-1565
(904) 562-3465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH13243
FL
Other
Enumeration date
10/20/2017
Last updated
03/12/2019
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