Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Authentic Self Association LLC

Organization Clinical Social Worker · NPI 1720854466

Authentic Self Association LLC is a Clinical Social Worker in Williamsburg, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4404 Eaglebrook Dr
Williamsburg, VA 23188-8038
Phone: (757) 918-3381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1720854466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Coty Mills — Owner/Therapist · (757) 918-3381
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 2, 2023
Mailing address4404 Eaglebrook Dr, Williamsburg, VA 23188-8038

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