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MIND REVOLUTION SERVICES LLC
NPI 1801571872
Counselor - Mental Health in Richmond, VA

Active since June 19, 2023
1800 E MAIN ST, RICHMOND, VA 23223(703) 628-0705 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mind Revolution Services Llc NPPES

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

MIND REVOLUTION SERVICES LLC (NPI 1801571872) is a healthcare organization registered as a mental health in Richmond, Virginia and active in the NPI registry since June 2023. The organization lists Tysean Markeal Ford, President, as its authorized official.

NPPES Registry Identity

NPI1801571872
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMIND REVOLUTION SERVICES LLC
Location Address1800 E MAIN STRichmond, VA 23223-6962
Mailing Address1800 E Main StRichmond, VA 23223-6962 · (703) 628-0705
Phone(703) 628-0705
Organization SubpartNo
Authorized OfficialTysean Markeal FordPresident · (703) 628-0705
Enumeration DateJune 19, 2023
Last NPPES UpdateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1801571872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1800 E MAIN ST, Richmond, VA 23223
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 Mind Revolution Services LLC's NPI number?

The NPI number for Mind Revolution Services LLC is 1801571872. It was assigned to this organization in the NPPES registry on June 19, 2023.

Where is Mind Revolution Services LLC located?

Mind Revolution Services LLC is located at 1800 E Main St, Richmond, VA 23223. The listed phone number is (703) 628-0705.

What is Mind Revolution Services 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 Mind Revolution Services LLC was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.