Organization
AUTHENTIC SELF COUNSELING GROUP, LLC
Active
Other names
Authentic Self Counseling and Testing
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHERIDAN PHD (LICENSED PSYCHOLOGIST)
(305) 929-3598
Entity
Organization
Contact information
Practice address
3150 SW 38TH AVE STE 1320-A, CORAL GABLES, FL 33146-1531
(305) 929-3598
Mailing address
300 GRANELLO AVE APT 561, CORAL GABLES, FL 33146-1945
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275029548
NPI NUMBER
—
Enumeration date
08/22/2019
Last updated
08/22/2019
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