Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Authentic Pride Therapy LLC

Organization Clinical Social Worker · NPI 1487272225

Authentic Pride Therapy LLC provides Clinical Social Worker services 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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