AUTHENTIC VIBRANCY COMPANY PLLC
NPI 1245116680
Counselor - Mental Health in Mount Vernon, WA

Active since August 12, 2025
325 PINE ST STE B, MOUNT VERNON, WA 98273(360) 420-5930(360) 499-2274 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Authentic Vibrancy Company Pllc NPPES

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

AUTHENTIC VIBRANCY COMPANY PLLC (NPI 1245116680) is a healthcare organization registered as a mental health in Mount Vernon, Washington and active in the NPI registry since August 2025. The organization lists Tracy Wiesneske, Owner, as its authorized official.

NPPES Registry Identity

NPI1245116680
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAUTHENTIC VIBRANCY COMPANY PLLC
Location Address325 PINE ST STE BMount Vernon, WA 98273-5929
Mailing Address325 Pine St Ste BMount Vernon, WA 98273-5929 · (360) 420-5930 · Fax (360) 499-2274
Fax(360) 499-2274
Organization SubpartNo
Authorized OfficialTracy WiesneskeOwner · (360) 420-5930
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
NPI 1245116680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
325 PINE ST STE B, Mount Vernon, WA 98273

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
325 PINE ST STE B
MOUNT VERNON, WA 98273

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 Vibrancy Company PLLC's NPI number?

The NPI number for Authentic Vibrancy Company PLLC is 1245116680. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Authentic Vibrancy Company PLLC located?

Authentic Vibrancy Company PLLC is located at 325 Pine St Ste B, Mount Vernon, WA 98273. The listed phone number is (360) 420-5930.

What is Authentic Vibrancy Company PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Authentic Vibrancy Company PLLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.