Healthcare Provider Details

I. General information

NPI: 1598670861
Provider Name (Legal Business Name): BEYOND YOUR REFLECTION COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9221 FOREST HILL AVE
RICHMOND VA
23235-6876
US

IV. Provider business mailing address

9221 FOREST HILL AVE
RICHMOND VA
23235-6876
US

V. Phone/Fax

Practice location:
  • Phone: 804-738-5776
  • Fax:
Mailing address:
  • Phone: 804-738-5776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHAKEIA BOND
Title or Position: CLINICAL SOCIAL WORKER
Credential: LLC
Phone: 804-404-2922