Provider Demographics
NPI:1104472380
Name:AUTHENTIC TRANSITIONS COUNSELING AND COACHING PLLC
Entity type:Organization
Organization Name:AUTHENTIC TRANSITIONS COUNSELING AND COACHING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:RENFRO
Authorized Official - Last Name:ABEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC #8776
Authorized Official - Phone:828-919-9949
Mailing Address - Street 1:885 HEATHER CIR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-9394
Mailing Address - Country:US
Mailing Address - Phone:828-919-9949
Mailing Address - Fax:828-919-9949
Practice Address - Street 1:910 W KING ST
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-3467
Practice Address - Country:US
Practice Address - Phone:828-919-9949
Practice Address - Fax:828-919-9949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty