Organization
AUTHENTIC INTEGRATIVE WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA VERA PHD (OWNER)
(954) 616-5246
Entity
Organization
Contact information
Practice address
2003 W CYPRESS CREEK RD STE 103, FORT LAUDERDALE, FL 33309-1834
(954) 616-5246
Mailing address
2003 W CYPRESS CREEK RD STE 103, FORT LAUDERDALE, FL 33309-1834
(954) 616-5246
(754) 701-6433
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
03/20/2019
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