Authentic Self Therapy PLLC
Authentic Self Therapy PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Cloud, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
103 Doctors ParkSaint Cloud, MN 56303-1207
Phone: (320) 855-6557
Fax: (320) 238-7456
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1255013504 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicolette Johnson — Therapist · (320) 855-6557 |
| NPI enumerated | August 7, 2023 |
| Last updated in NPPES | August 4, 2025 |
| Certification date | August 4, 2025 |
| Mailing address | 103 Doctors Park, Saint Cloud, MN 56303-1207 |
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