Organization
AUTHENTIC SELF THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN CAVANAUGH LMSW (OWNER)
(810) 356-9925
Entity
Organization
Contact information
Practice address
848 MOUNTVIEW RD, LAPEER, MI 48446-9053
(810) 356-9925
Mailing address
848 MOUNTVIEW RD, LAPEER, MI 48446-9053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
02/15/2024
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