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

Authentic Self Counseling of Jacksonville, LLC

Organization Mental Health Counselor · NPI 1407400591

Authentic Self Counseling of Jacksonville, LLC is a Mental Health Counselor in Jacksonville, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

7235 Bentley Rd Ste 308
Jacksonville, FL 32256-7506
Phone: (904) 990-7117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1407400591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Anderson — Owner · (904) 990-7117
NPI enumeratedJuly 28, 2019
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address3733 University Blvd W Ste 203, Jacksonville, FL 32217-2152

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