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NPI Code Detail

MEDICARE: AUTHENTIC THERAPEUTIC SERVICES L.L.C.

MEDICARE: AUTHENTIC THERAPEUTIC SERVICES L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1275309791
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTHENTIC THERAPEUTIC SERVICES L.L.C.
Provider Business Mailing Address
First Line : 1206 42ND AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55412-1611
Country : US
Telephone Number : 612-482-3995
Fax Number : 612-500-4827
Provider Business Practice Location Address
First Line : 1206 42ND AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55412-1611
Country : US
Telephone Number : 612-482-3995
Fax Number : 612-500-4827
Authorized Official
Title or Position : OWNER
Name : MS. CAROLINE ELIZABETH KADING
Credential : MA, LMFT
Telephone Number : 612-482-3995
Provider Enumeration Date : 11/27/2023
Last Update Date : 11/25/2025

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Directions to “AUTHENTIC THERAPEUTIC SERVICES L.L.C. ” Practice Location

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