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PERSIMMON GROVE THERAPY LLC
NPI 1215890736
Counselor - Mental Health in Richmond, VA

Active since December 03, 2025
1904 BYRD AVE STE 325, RICHMOND, VA 23230(804) 215-6315 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Persimmon Grove Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSIMMON GROVE THERAPY LLC (NPI 1215890736) is a healthcare organization registered as a mental health in Richmond, Virginia and active in the NPI registry since December 2025. The organization lists Angelica Hardianto, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1215890736
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePERSIMMON GROVE THERAPY LLC
Location Address1904 BYRD AVE STE 325Richmond, VA 23230-3029
Mailing Address11357 Nuckols Rd # 2205Glen Allen, VA 23059-5504
Phone(804) 215-6315
Organization SubpartNo
Authorized OfficialAngelica HardiantoPractice Owner · (804) 215-6315
Enumeration DateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1215890736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1904 BYRD AVE STE 325, Richmond, VA 23230
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Persimmon Grove Therapy LLC's NPI number?

The NPI number for Persimmon Grove Therapy LLC is 1215890736. It was assigned to this organization in the NPPES registry on December 3, 2025.

Where is Persimmon Grove Therapy LLC located?

Persimmon Grove Therapy LLC is located at 1904 Byrd Ave Ste 325, Richmond, VA 23230. The listed phone number is (804) 215-6315.

What is Persimmon Grove Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Persimmon Grove Therapy LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.