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 1679460018

Authentic Self Counseling of Jacksonville, LLC provides Mental Health Counselor services in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

9770 Baymeadows Rd Ste 133
Jacksonville, FL 32256-7986
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 number1679460018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Anderson — Owner · (904) 990-7117
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address9770 Baymeadows Rd Ste 133, Jacksonville, FL 32256-7986

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