Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Revolution Services LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1801571872

Mind Revolution Services LLC is an Addiction (Substance Use Disorder) Counselor in Richmond, Virginia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1800 E Main St
Richmond, VA 23223-6962
Phone: (703) 628-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1801571872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tysean Ford — President · (703) 628-0705
NPI enumeratedJune 19, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address1800 E Main St, Richmond, VA 23223-6962

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