Authentic Life Center LLC
NPI 1871102673ActiveOrganization· Social Worker, Clinical· Niles, MI
Social Worker, Clinical in Niles, Michigan, registered in NPPES in July 2020. The authorized official on file is Tiffany Russell, Owner.
Overview
| NPI | 1871102673 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2020 |
| Last updated in NPPES | Jul 28, 2020 |
| Certified by provider | Jul 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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