Healthcare Provider Details

I. General information

NPI: 1063338499
Provider Name (Legal Business Name): AUTHENTICITY PSYCHOTHERAPY LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 5TH AVE FL 11
NEW YORK NY
10001-8017
US

IV. Provider business mailing address

1775 YORK AVE APT 34E
NEW YORK NY
10128-6922
US

V. Phone/Fax

Practice location:
  • Phone: 646-801-6934
  • Fax:
Mailing address:
  • Phone: 646-801-6934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARIANE ERNST
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCSW
Phone: 646-801-6934