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Organization

AUTHENTIC LIVING CENTER, LLC

Active
Other names
Karmivis Santiago, LMHC
Organization subpart
No

Provider details

NPI number
Authorized official
KARMIVIS SANTIAGO LMHC (CEO/PROVIDER)
(727) 480-0107
Entity
Organization

Contact information

Practice address
25400 US HIGHWAY 19 N STE 156, CLEARWATER, FL 33763-2150
(727) 480-0107
(727) 499-7555
Mailing address
25400 US HIGHWAY 19 N STE 156, CLEARWATER, FL 33763-2150
(727) 480-0107
(727) 499-7555

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/23/2023
Last updated
04/26/2023
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