Organization
EVERGLOW LANTERN MINDCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ISABEL TAMAYO-MCHALE PMHNP-BC (PRESIDENT)
(305) 542-9956
Entity
Organization
Contact information
Practice address
1011 E MAIN ST STE 310A, RICHMOND, VA 23219-3537
(305) 542-9956
Mailing address
1011 E MAIN ST STE 310A, RICHMOND, VA 23219-3537
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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