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 1982369625

Authentic Self Counseling of Jacksonville, LLC is a Mental Health Counselor in Fernandina Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

910 S 8th St Ste 100
Fernandina Beach, FL 32034-3745
Phone: (904) 894-3867
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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 number1982369625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Anderson — Owner · (904) 990-7117
NPI enumeratedNovember 8, 2021
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address910 S 8th St Ste 100, Fernandina Beach, FL 32034-3745

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