Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Authentic Self Counseling of Jacksonville, LLC

Organization Mental Health Counselor · NPI 1407400591

Authentic Self Counseling of Jacksonville, LLC provides Mental Health Counselor services in Jacksonville, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7235 Bentley Rd Ste 308
Jacksonville, FL 32256-7506
Phone: (904) 990-7117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1407400591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Anderson — Owner · (904) 990-7117
NPI enumeratedJuly 28, 2019
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address3733 University Blvd W Ste 203, Jacksonville, FL 32217-2152

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