Healthcare Provider Details

I. General information

NPI: 1427651884
Provider Name (Legal Business Name): A DASH OF MINDFULNESS PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 MILLER AVE
RICHMOND VA
23222-4924
US

IV. Provider business mailing address

2003 MILLER AVE
RICHMOND VA
23222-4924
US

V. Phone/Fax

Practice location:
  • Phone: 512-856-7799
  • Fax:
Mailing address:
  • Phone: 512-856-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANDREA ANNA MARBURGER
Title or Position: OWNER
Credential: LCSW
Phone: 512-856-7799