Provider Demographics
NPI:1548898398
Name:AUTHENTIC RESILIENCE COUNSELING & CONSULTING, LLC.
Entity type:Organization
Organization Name:AUTHENTIC RESILIENCE COUNSELING & CONSULTING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:OPRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KEYES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-842-5446
Mailing Address - Street 1:4511 BIRCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2490
Mailing Address - Country:US
Mailing Address - Phone:443-842-5446
Mailing Address - Fax:
Practice Address - Street 1:6400 BALTIMORE NATIONAL PIKE STE 170A-204
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-3930
Practice Address - Country:US
Practice Address - Phone:443-842-5446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-28
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty