1. Home
  2. Directory
  3. Michigan
  4. Niles
  5. Social Worker
  6. NPI Profile

AUTHENTIC LIFE CENTER LLC
NPI 1871102673
Social Worker - Clinical in Niles, MI

Active since July 28, 2020
210 E MAIN ST STE 16, NILES, MI 49120(269) 409-1276 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Authentic Life Center Llc NPPES

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

AUTHENTIC LIFE CENTER LLC (NPI 1871102673) is a healthcare organization registered as a clinical in Niles, Michigan and active in the NPI registry since July 2020. The organization lists Tiffany Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1871102673
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAUTHENTIC LIFE CENTER LLC
Location Address210 E MAIN ST STE 16Niles, MI 49120-2376
Mailing Address78 Sunset LnNiles, MI 49120-9344 · (574) 323-6996
Phone(269) 409-1276
Organization SubpartNo
Authorized OfficialTiffany RussellOwner · (574) 323-6996
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1871102673 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.
210 E MAIN ST STE 16, Niles, MI 49120
Open in Google Maps ↗

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

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

TIFFANY RUSSELL LMSW
Social Worker (Clinical)
210 E MAIN ST STE 16
NILES, MI 49120
Berrien County (574) 323-6996

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 Life Center LLC's NPI number?

The NPI number for Authentic Life Center LLC is 1871102673. It was assigned to this organization in the NPPES registry on July 28, 2020.

Where is Authentic Life Center LLC located?

Authentic Life Center LLC is located at 210 E Main St Ste 16, Niles, MI 49120. The listed phone number is (269) 409-1276.

What is Authentic Life Center 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 Life Center LLC was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.