Organization
AUTHENTIC MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MAE JENNEMAN LCSW (LCSW/OWNER)
(715) 828-3721
Entity
Organization
Contact information
Practice address
2722 EDDY LN, EAU CLAIRE, WI 54703-1204
(715) 770-9180
Mailing address
2722 EDDY LN, EAU CLAIRE, WI 54703-1204
(715) 770-9180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/18/2022
Last updated
08/20/2025
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