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Organization

ELITE STATE OF MIND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS RIVES (OWNER)
(804) 971-7670
Entity
Organization

Contact information

Practice address
3707 PENNYWEIGHT CT, NORTH CHESTERFIELD, VA 23237-1977
(804) 971-7670
Mailing address
3707 PENNYWEIGHT CT, NORTH CHESTERFIELD, VA 23237-1977
(804) 971-7670

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
02/25/2026
Last updated
02/25/2026
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