Organization
AUTHENTIC WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY NIILEKSELA (CO-OWNER)
(906) 299-9355
Entity
Organization
Contact information
Practice address
54354 STATE HIGHWAY M203, HANCOCK, MI 49930-9448
(906) 281-4806
Mailing address
54354 STATE HIGHWAY M203, HANCOCK, MI 49930-9448
(906) 281-4806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/30/2022
Last updated
08/06/2023
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