Organization
AUTHENTIC LIFE MENTAL HEALTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANN MANKOWSKI MA, LPCC, LADC, LMHC (PSYCHOTHERAPIST AND OWNER)
(201) 903-2461
Entity
Organization
Contact information
Practice address
1051 DANBY RD APT 2, ITHACA, NY 14850-5721
(201) 903-2461
Mailing address
2604 ELMWOOD AVE PMB 133, ROCHESTER, NY 14618
(201) 903-2461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
07/15/2025
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