Organization
GRACE HEALTH LLC
Active
Other names
Mindwell Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM GREENE (OWNER)
(804) 912-7814
Entity
Organization
Contact information
Practice address
14110 ROBERT PARIS CT, CHANTILLY, VA 20151-4205
(703) 378-7998
Mailing address
4925 JENNWAY LOOP, MOSELEY, VA 23120-1388
(804) 912-7814
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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