Organization
MOSSY ROAD COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MITCHELL LPC (OWNER)
(703) 679-7608
Entity
Organization
Contact information
Practice address
415 E GRACE ST APT 104, RICHMOND, VA 23219-1866
(703) 679-7608
Mailing address
701 E FRANKLIN STREET STE 105, PMB 1278, RICHMOND, VA 23219
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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