Healthcare Provider Details

I. General information

NPI: 1366376063
Provider Name (Legal Business Name): NUMIND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8921 THREE CHOPT RD STE 205
RICHMOND VA
23229-4601
US

IV. Provider business mailing address

8921 THREE CHOPT RD STE 205
RICHMOND VA
23229-4601
US

V. Phone/Fax

Practice location:
  • Phone: 804-660-8712
  • Fax: 804-390-9851
Mailing address:
  • Phone: 804-892-1126
  • Fax: 804-390-9851

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: RONDALE WORLEY
Title or Position: OWNER
Credential:
Phone: 804-892-1126