Organization
PACIFIC MIND & WELLNESS PSYCHIATRIC CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY RUSSELL GRAY APRN (NURSE PRACTITIONER)
(804) 835-0114
Entity
Organization
Contact information
Practice address
6196 BELAY DRIVE, NORTH CHESTERFIELD, VA 23234
(804) 404-9276
Mailing address
13926 HULL STREET RD, PO BOX 3013, MIDLOTHIAN, VA 23112-2004
(804) 404-9276
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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