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

Persimmon Grove Therapy LLC

Organization Mental Health Counselor · NPI 1215890736

Persimmon Grove Therapy LLC is a Mental Health Counselor in Richmond, Virginia. Registered with an NPI since 2025.

In the registry since
2025
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

1904 Byrd Ave Ste 325
Richmond, VA 23230-3029
Phone: (804) 215-6315
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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

Record details

NPI number1215890736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelica Hardianto — Practice Owner · (804) 215-6315
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address11357 Nuckols Rd # 2205, Glen Allen, VA 23059-5504

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