Healthcare Provider Details

I. General information

NPI: 1194646752
Provider Name (Legal Business Name): MINDSET
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N ROBINSON ST STE 402
RICHMOND VA
23220-4462
US

IV. Provider business mailing address

110 N ROBINSON ST STE 402
RICHMOND VA
23220-4462
US

V. Phone/Fax

Practice location:
  • Phone: 804-409-4955
  • Fax: 804-441-9508
Mailing address:
  • Phone: 804-409-4955
  • Fax: 804-441-9508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: K DABNEY
Title or Position: OWNER
Credential:
Phone: 804-852-6642