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 provides Mental Health Counselor services 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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