AUTHENTIC SELF COMPLETE WELLNESS PLLC
NPI 1063255537
Nurse Practitioner - Psychiatric/Mental Health in Harrisonburg, VA

Active since June 13, 2024
1012 RESERVOIR ST STE A, HARRISONBURG, VA 22801(540) 324-3435 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Jun 13, 2024 (2 updates tracked since 2024).

About Authentic Self Complete Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTHENTIC SELF COMPLETE WELLNESS PLLC (NPI 1063255537) is a healthcare organization registered as a psychiatric/mental health in Harrisonburg, Virginia and active in the NPI registry since June 2024. The organization lists Carey Dean, Owner, as its authorized official.

NPPES Registry Identity

NPI1063255537
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAUTHENTIC SELF COMPLETE WELLNESS PLLC
Location Address1012 RESERVOIR ST STE AHarrisonburg, VA 22801-4457
Mailing Address8263 Sangersville RdBridgewater, VA 22812-3209 · (540) 810-5984
Organization SubpartNo
Authorized OfficialCarey DeanOwner · (540) 324-3435
Enumeration DateJune 13, 2024
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
NPI 1063255537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1012 RESERVOIR ST STE A, Harrisonburg, VA 22801

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Authentic Self Complete Wellness PLLC's NPI number?

The NPI number for Authentic Self Complete Wellness PLLC is 1063255537. It was assigned to this organization in the NPPES registry on June 13, 2024.

Where is Authentic Self Complete Wellness PLLC located?

Authentic Self Complete Wellness PLLC is located at 1012 Reservoir St Ste A, Harrisonburg, VA 22801. The listed phone number is (540) 324-3435.

What is Authentic Self Complete Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Authentic Self Complete Wellness PLLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.