Provider Demographics
NPI:1508692807
Name:AUTHENTIC HEALING LLC
Entity type:Organization
Organization Name:AUTHENTIC HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MCKENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP, MA, NCC
Authorized Official - Phone:615-838-0167
Mailing Address - Street 1:411 ARROWHEAD TRL
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-5380
Mailing Address - Country:US
Mailing Address - Phone:615-838-0167
Mailing Address - Fax:
Practice Address - Street 1:411 ARROWHEAD TRL
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-5380
Practice Address - Country:US
Practice Address - Phone:615-838-0167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)