AUTHENTIC PRIDE THERAPY LLC - NPI 1487272225 - Social Worker in Beachwood, OH

Q: What is Authentic Pride Therapy LLC's NPI number?

The NPI number for Authentic Pride Therapy LLC is 1487272225. It was assigned to this organization in the NPPES registry on July 8, 2020.

Q: What is Authentic Pride Therapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Authentic Pride Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTHENTIC PRIDE THERAPY LLC (NPI 1487272225) is a healthcare organization registered as a clinical in Beachwood, Ohio and active in the NPI registry since July 2020. The organization lists Emerson Lee Douglas, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1487272225

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameAUTHENTIC PRIDE THERAPY LLC

Location Address25201 CHAGRIN BLVD STE 390Beachwood, OH 44122-5637

Mailing Address5782 Andrews Rd Apt I103Mentor On The Lake, OH 44060-2659 · (216) 400-5709

Phone(216) 400-5709

Organization SubpartNo

Authorized OfficialEmerson Lee DouglasPsychotherapist · (216) 400-5709

Enumeration DateJuly 8, 2020

NPPES CertifiedJuly 8, 2020

✔ NPI 1487272225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

25201 CHAGRIN BLVD STE 390, Beachwood, OH 44122

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY WILKINS

Peer Specialist