| 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 |
|---|---|
| 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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