# BEACON MENTAL HEALTH AND WELLNESS PLLC

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

## Provider details

- **NPI number:** 1265398812
- **Authorized official:** TOLA OLUWAFUNKE AKINBOBOLA PMHNP (NURSE PRACTITIONER)
- **Authorized official phone:** (686) 202-4641

## Contact information

- **Practice address:** 903 E LABURNUM AVE, RICHMOND, VA 23222-2210
- **Practice address phone:** (686) 202-4641
- **Mailing address:** 6601 AUTUMN MIST WAY, CHESTERFIELD, VA 23832-8490
- **Mailing address phone:** (686) 202-4641

## 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:** 12/29/2025
- **Last updated:** 01/09/2026
