OrganizationActive
Authentic Life Center LLC
NPI 1871102673 · Clinical Social Worker · Niles, MI
Authentic Life Center LLC is a Clinical Social Worker organization in Niles, MI (NPI 1871102673).
Provider details
- NPI number
- 1871102673
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tiffany Russell, Owner(574) 323-6996
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 E Main St Ste 16
Niles, MI 49120-2376
Phone: (269) 409-1276
Street-level locationGet directions
Mailing address
78 Sunset Ln
Niles, MI 49120-9344
Registry dates
- Enumerated
- 2020-07-28
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Frequently asked questions
- What is Authentic Life Center LLC's NPI number?
- Authentic Life Center LLC's National Provider Identifier (NPI) is 1871102673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Authentic Life Center LLC?
- Authentic Life Center LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Authentic Life Center LLC located?
- Authentic Life Center LLC's practice location on file with NPPES is 210 E Main St Ste 16, Niles, MI 49120-2376.
- What is Authentic Life Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Authentic Life Center LLC is (269) 409-1276.
- Who is the authorized official for Authentic Life Center LLC?
- The authorized official listed on Authentic Life Center LLC's NPPES record is Tiffany Russell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Authentic Life Center LLC's NPI active?
- Yes — Authentic Life Center LLC's NPI (1871102673) is active in the NPPES registry as of the last update on 2020-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.