Provider Demographics
NPI:1972244713
Name:AUTHENTIC CONNECTIONS COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:AUTHENTIC CONNECTIONS COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:JO'NAY
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:202-940-5416
Mailing Address - Street 1:300 N WASHINGTON ST STE 607
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2544
Mailing Address - Country:US
Mailing Address - Phone:571-386-2187
Mailing Address - Fax:
Practice Address - Street 1:300 N WASHINGTON ST STE 607
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2544
Practice Address - Country:US
Practice Address - Phone:571-386-2187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty