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

Self-Evolution Counseling & Clinical Consultation, LLC

Organization Professional Counselor · NPI 1568258861

Self-Evolution Counseling & Clinical Consultation, LLC is a Professional 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

700 E 6th St # L
Richmond, VA 23224-5560
Phone: (804) 252-1862
Fax: (804) 655-6171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1568258861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Gregg-Martin — Lpc/Owner · (804) 252-1862
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address700 E 6th St # L, Richmond, VA 23224-5560

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