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Organization

PEACE OF MIND HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARRYL LAMONT JOHNSON JR. (OWNER)
(804) 339-5381
Entity
Organization

Contact information

Practice address
5030 SADLER PL STE 203, GLEN ALLEN, VA 23060-6146
(804) 339-5381
Mailing address
1211 ELMSHADOW DR, HENRICO, VA 23231-4724

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
104100000X
Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
01/15/2025
Last updated
01/15/2025
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