Authentic Therapy Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AUTHENTIC THERAPY CENTER

Doing business as

Authentic Therapy Center

Practice address

322 W Bearss Ave
Tampa, FL 33613-1228

Phone

(656) 600-7443

Fax

(954) 944-0308

NPI assigned

Jun 16, 2023

Last updated

Jun 16, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexis Marx, LMSW

Title

Owner

Phone

(656) 600-7443

Specialties & licenses 1

Addresses

Other names 1

• AUTHENTIC THERAPY CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1225713415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131228",
            "telephone_number": "656-600-7443",
            "fax_number": "954-944-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131228",
            "telephone_number": "656-600-7443",
            "fax_number": "954-944-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "656-600-7443",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUTHENTIC THERAPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Bruce Austin, D.O.
• Nadine Ciera Austin
• Stephanie Austin, ARNP
• Stephanie Austin
• Tashander Gwendolyn Austin
• Autisk LLC
• Autism Awareness Shop
• Winnie Auyeung
• Avacorp Inc
• Avahealth, Inc. (Key Insurance Plan)

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.