Organization
MINDFULLY TRANSFORMING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEE CLARK (MANAGER)
(804) 616-7328
Entity
Organization
Contact information
Practice address
8401 MARYLAND DRIVE, STE V, RICHMOND, VA 23294
(804) 616-7328
Mailing address
8401 MARYLAND DRIVE, STE V, RICHMOND, VA 23294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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