Authentic Integrative Wellness Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AUTHENTIC INTEGRATIVE WELLNESS INC

Practice address

2003 W Cypress Creek Rd Ste 103
Fort Lauderdale, FL 33309-1834

Phone

(954) 616-5246

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Vera, PHD

Title

Owner

Phone

(954) 616-5246

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1922563634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W CYPRESS CREEK RD STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091834",
            "telephone_number": "954-616-5246",
            "fax_number": "754-701-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W CYPRESS CREEK RD STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091834",
            "telephone_number": "954-616-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC INTEGRATIVE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-616-5246",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Auster, M.D.
• Christina Austin Valere, PH.D, LCSW
• Amanda Austin, LMT
• Elizabeth Vukelich Austin, PA
• Judy Austin, CNA
• Authentic Medical Solutions LLC
• Autism Behavioral Changes LLC
• Autism Horizon Consulting
• Auto-Mobility Sales, Inc.
• Avalon Medical & Rehabilitation Center LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.