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AUTHENTIC LIVING LAB LLC
NPI 1619841038
Social Worker - Clinical in Columbia, SC

Active since September 30, 2025
220 OLDE SPRINGS RD, COLUMBIA, SC 29223(803) 714-3774 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Authentic Living Lab Llc NPPES

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

AUTHENTIC LIVING LAB LLC (NPI 1619841038) is a healthcare organization registered as a clinical in Columbia, South Carolina and active in the NPI registry since September 2025. The organization lists Delsondra Jonell Allen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619841038
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAUTHENTIC LIVING LAB LLC
Location Address220 OLDE SPRINGS RDColumbia, SC 29223-1612
Mailing Address9600 Two Notch Rd, Suite 5 # 1285Columbia, SC 29223-1612 · (803) 714-3774
Phone(803) 714-3774
Organization SubpartNo
Authorized OfficialDelsondra Jonell AllenCeo · (803) 714-3774
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1619841038 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.
220 OLDE SPRINGS RD, Columbia, SC 29223
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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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Authentic Living Lab LLC's NPI number?

The NPI number for Authentic Living Lab LLC is 1619841038. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Authentic Living Lab LLC located?

Authentic Living Lab LLC is located at 220 Olde Springs Rd, Columbia, SC 29223. The listed phone number is (803) 714-3774.

What is Authentic Living Lab LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Authentic Living Lab LLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.