Organization
PROSPERITY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYCHELLE BROWN LMHP-R (PROGRAM DIRECTOR)
(804) 625-1094
Entity
Organization
Contact information
Practice address
409 E LABURNUM AVE STE 5, RICHMOND, VA 23222-2105
(804) 625-4645
Mailing address
409 E LABURNUM AVE STE 5, RICHMOND, VA 23222-2105
(804) 625-4645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
03/11/2026
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