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 1679460018

Authentic Self Counseling of Jacksonville, LLC is a Mental Health Counselor in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

9770 Baymeadows Rd Ste 133
Jacksonville, FL 32256-7986
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 number1679460018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Anderson — Owner · (904) 990-7117
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address9770 Baymeadows Rd Ste 133, Jacksonville, FL 32256-7986

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