Provider Demographics
NPI:1528930856
Name:INTERNAL AUTHENTICITY
Entity type:Organization
Organization Name:INTERNAL AUTHENTICITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICAL
Authorized Official - Prefix:
Authorized Official - First Name:FADUMA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:SHEIKH-ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:872-303-5085
Mailing Address - Street 1:6100 N SEELEY AVE APT 2A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4390
Mailing Address - Country:US
Mailing Address - Phone:872-303-5085
Mailing Address - Fax:
Practice Address - Street 1:6100 N SEELEY AVE APT 2A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4390
Practice Address - Country:US
Practice Address - Phone:872-303-5085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty