Organization · Type 2 NPI

Authentic Space

Mental Health Counselor · Waukesha, WI

NPI number 1891612552 Active

About NPI 1891612552

Authentic Space's National Provider Identifier is 1891612552, issued on Jul 2, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukesha, WI. The record was last updated on Jul 2, 2026.