Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Authentic Change Psychotherapy, Inc

Organization Clinical Social Worker · NPI 1144971342

Authentic Change Psychotherapy, Inc is a Clinical Social Worker in Providence, Rhode Island. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

154 Waterman St Ste 15 3RD Fl
Providence, RI 02906
Phone: (401) 489-6885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1144971342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brooke Huminski — Owner · (401) 489-6885
NPI enumeratedJanuary 10, 2022
Last updated in NPPESJanuary 23, 2022
Certification dateJanuary 23, 2022
Mailing address133 Glenwood Ave, Pawtucket, RI 02860-5905

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