Healthcare Provider Details

I. General information

NPI: 1548117724
Provider Name (Legal Business Name): MENTAL HEALTH MECHANICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 HULL ST APT A
RICHMOND VA
23224-4010
US

IV. Provider business mailing address

1126 HULL ST APT A
RICHMOND VA
23224-4010
US

V. Phone/Fax

Practice location:
  • Phone: 804-901-6806
  • Fax:
Mailing address:
  • Phone: 804-901-6806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GEORGE MOODY
Title or Position: CHIEF EXECUTIVE OFFICER/OWNER
Credential: M.ED LPC
Phone: 804-901-6806