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

Wildly Authentic Counseling, LLC

Organization Professional Counselor · NPI 1053086793

Wildly Authentic Counseling, LLC is a Professional Counselor in Jacksonville, 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

12443 San Jose Blvd Ste 202
Jacksonville, FL 32223-8648
Phone: (904) 337-9040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1053086793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Schaet — Owner · (904) 885-8278
NPI enumeratedAugust 13, 2021
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address630 Kingsley Ave, Orange Park, FL 32073-5465

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