Organization
AUTHENTIC -SELF COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN EISENBERG LCSW (MEMBER)
(860) 325-7344
Entity
Organization
Contact information
Practice address
35 E MAIN ST STE 125, AVON, CT 06001-3845
(860) 325-7344
Mailing address
35 E MAIN ST STE 125, AVON, CT 06001-3845
(860) 325-7344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013660174
NPI
CT
Enumeration date
02/27/2022
Last updated
06/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us