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General NPI Number Information
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NPI Number | 1861389678
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Entity Type | Organization
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Legal Business Name | AUTHENTIC COUNSELING & CARE, PLLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 11/23/2025
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Provider Practice Location Address
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Address Line | 1812 TWIN RIVERS CT
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City | CHESTER
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State | VA
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Zip | 23836-2918
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Country | US
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Telephone | 804-215-6989
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 TWIN RIVERS CT
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City | CHESTER
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State | VA
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Zip | 23836-2918
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Country | US
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Telephone | 804-215-6989
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAN
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Name | DYLAN JAMES COLSON
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Credential | LPC, LCMHC
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Telephone | 704-652-2878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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