Authentic Life LLC
NPI #1437815255 in Independence, Missouri
Provider Information
- NPI Number
- 1437815255
- Entity Type
- Organization
- Organization Name
- Authentic Life LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 16, 2021
- Last Updated
- Aug 17, 2022
Practice Location
- Address
- 224 W MAPLE AVE
- City
- Independence
- State
- Missouri
- ZIP Code
- 64050-2816
- Phone
- (816) 381-7690
Authorized Official
- Name
- MRS. LAURIE L CARPENTER, LCSW, LSCSW
- Title
- OWNER/THERAPIST
- Phone
- (816) 381-7690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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