Organization · Type 2 NPI

Kind Authentic Therapeutic Initiatives LLC

Mental Health Counselor · Philadelphia, PA

NPI number 1407422249 Active

Practice location

2832 Coral St
Philadelphia, PA 19134-4047

Call (267) 469-0050 Map

Mailing address

1229 Chestnut St Ste 273
Philadelphia, PA 19107-4140

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor Primary	101YM0800X	None listed
Marriage & Family Therapist	106H00000X	None listed

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NPI record

NPI: 1407422249
Entity type: Organization (Type 2)
Issued: Jun 2, 2021
Last updated: Nov 15, 2022
Status: Active

Other names

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Kind Authentic Therapeutic Initiatives LLC · doing business as
Kind Authentic Therapeutic Initiatives LLC · doing business as

Authorized official

Katherine Nicole White, LCSW
CEO
(267) 469-0050

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407422249

Kind Authentic Therapeutic Initiatives LLC's National Provider Identifier is 1407422249, issued on Jun 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 15, 2022.