Authentic Self Association Llc

LBN: Authentic Self Association Llc
Authentic Self Association Llc is an health care organization with primary practice located at 4404 Eaglebrook Dr , Williamsburg VA 23188-8038. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Authentic Self Association Llc can be contacted via phone (757) 918-3381, or through Mills, Coty A via phone (757) 918-3381.

Contact Information

Primary practice address
4404 Eaglebrook Dr Williamsburg VA 23188-8038
Phone: (757) 918-3381
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mills, Coty A LCSW, CSAC, MSW, BSW
Phone: (757) 918-3381

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1720854466
LBN Legal business name Authentic Self Association Llc
DBA Doing business as
Authorized official Mills, Coty A LCSW, CSAC, MSW, BSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2023
Last updated Dec 4th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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