Authentic Self Complete Wellness Pllc | |
1012 Reservoir St Ste A Harrisonburg VA 22801-4457 | |
(540) 324-3435 | |
Not Available |
Full Name | Authentic Self Complete Wellness Pllc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1012 Reservoir St Ste A, Harrisonburg, Virginia |
Authorized Official Name and Position | Carey Dean (OWNER) |
Authorized Official Contact | 5403243435 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Authentic Self Complete Wellness Pllc 8263 Sangersville Rd Bridgewater VA 22812-3209 Ph: (540) 810-5984 | Authentic Self Complete Wellness Pllc 1012 Reservoir St Ste A Harrisonburg VA 22801-4457 Ph: (540) 324-3435 |
NPI Number | 1063255537 |
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Provider Enumeration Date | 06/13/2024 |
Last Update Date | 06/13/2024 |
Certification Date | 06/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063255537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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