Healthcare Provider Details

I. General information

NPI: 1528922390
Provider Name (Legal Business Name): MIND BALANCE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR STE A
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

8401 MAYLAND DR STE A
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 689-231-9604
  • Fax: 407-270-8323
Mailing address:
  • Phone: 689-231-9604
  • Fax: 407-270-8323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RANA JABER ABBAS
Title or Position: OWNER/ PROVIDER
Credential: LMHC, LPC
Phone: 407-603-6776