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

Authentic Pride Therapy LLC

Organization Clinical Social Worker · NPI 1487272225

Authentic Pride Therapy LLC is a Clinical Social Worker in Beachwood, Ohio. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637
Phone: (216) 400-5709
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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 number1487272225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emerson Douglas — Psychotherapist · (216) 400-5709
NPI enumeratedJuly 8, 2020
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020
Mailing address5782 Andrews Rd Apt I103, Mentor On The Lake, OH 44060-2659

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