Provider Demographics
NPI:1861389678
Name:AUTHENTIC COUNSELING & CARE, PLLC
Entity type:Organization
Organization Name:AUTHENTIC COUNSELING & CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAN
Authorized Official - Prefix:
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:COLSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCMHC
Authorized Official - Phone:704-652-2878
Mailing Address - Street 1:1812 TWIN RIVERS CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2918
Mailing Address - Country:US
Mailing Address - Phone:804-215-6989
Mailing Address - Fax:
Practice Address - Street 1:1812 TWIN RIVERS CT
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2918
Practice Address - Country:US
Practice Address - Phone:804-215-6989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty