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Organization

YOUR MIND MATTERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LETITIA WALLACE APRN, PMHNP-BC (OWNER/PROVIDER)
(804) 635-6535
Entity
Organization

Contact information

Practice address
8401 MAYLAND DR # 5766, RICHMOND, VA 23294-4648
(804) 635-6535
Mailing address
8401 MAYLAND DR # 5766, RICHMOND, VA 23294-4648
(804) 635-6535

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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