# AUTHENTIC SELF COMPLETE WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063255537
- **Authorized official:** CAREY DEAN FNP (OWNER)
- **Authorized official phone:** (540) 324-3435

## Contact information

- **Practice address:** 1012 RESERVOIR ST STE A, HARRISONBURG, VA 22801-4457
- **Practice address phone:** (540) 324-3435
- **Mailing address:** 8263 SANGERSVILLE RD, BRIDGEWATER, VA 22812-3209
- **Mailing address phone:** (540) 810-5984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2024
- **Last updated:** 03/07/2025