Organization
DIVINE MINDS YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY MONTE ' MAPLES-PARHAM (OWNER)
(804) 833-4155
Entity
Organization
Contact information
Practice address
4020 BOLLING RD, RICHMOND, VA 23223-1149
(804) 833-4155
Mailing address
4020 BOLLING RD, RICHMOND, VA 23223-1149
(804) 833-4155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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