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Organization
MIND GARDEN COUNSELING
Active
Organization
MIND GARDEN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BURGESS LCSW (LICENSED CLINICAL SOCIAL WORKER)
(540) 907-7186
Entity
Organization
Contact information
Practice address
2501 SEMMES AVE APT B, RICHMOND, VA 23225-3851
(540) 907-7186
Mailing address
2501 SEMMES AVE APT B, RICHMOND, VA 23225-3851
(540) 907-7186
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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