Healthcare Provider Details

I. General information

NPI: 1588587380
Provider Name (Legal Business Name): CHERRY BLOSSOMS COMFORT COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2590 GASKINS RD STE C
HENRICO VA
23238-1404
US

IV. Provider business mailing address

2590 GASKINS RD STE C
HENRICO VA
23238-1404
US

V. Phone/Fax

Practice location:
  • Phone: 686-888-3199
  • Fax: 619-331-2941
Mailing address:
  • Phone: 686-888-3199
  • Fax: 619-331-2941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAKURA PATE
Title or Position: OWNER
Credential: LCSW
Phone: 686-888-3199