Authentically You Therapy
Organization Active NPI Adult Mental Health Clinic/Center · Fargo, ND
NPI 1508686353 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1508686353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- AUTHENTICALLY YOU THERAPY
- Practice address
- 3212 14TH Ave S Ste 7
Fargo, ND 58103-6306 - Phone
- (701) 318-0895
- NPI assigned
- Oct 16, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Gabrielle Elise Hagen, MS, LPCC
- Title
- Therapist
- Phone
- (701) 318-0895
Practitioners 1
-
Gabrielle Hagen, LAPC
National Provider Directory
Locations
3212 14th Ave S
Ste 7
Fargo, ND 58103
Phone (701) 318-0895
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Yes |
Addresses
Primary practice location
3212 14TH Ave S Ste 7
Fargo, ND 58103-6306
Mailing address
4707 46TH St S Apt 315
Fargo, ND 58104-9014
Phone (701) 318-0895
Other providers in Fargo, ND
- Nancy Lee Austin
- William R Austin
- Winnie A Austin
- Jane Margaret Austinson Blilie
- Espi Lomar Austvold
- Avail Psychological and Addiction Services PLLC
- Komivi T Avegnon
- Avera St. Luke'S
- Aw Transport LLC
- Khadija A Awes
All providers in Fargo, ND · Adult Mental Health Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.