EVERGLOW LANTERN MINDCARE PLLC NPI 1871464248

NPI Information

  • NPI: 1871464248
  • Provider Name: EVERGLOW LANTERN MINDCARE PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1011 E MAIN ST STE 310A
    RICHMOND, VA
    ZIP 23219
  • Phone: (305) 542-9956

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NPI Details

EVERGLOW LANTERN MINDCARE PLLC is a mental health (including community mental health center) clinic center in Richmond, VA. EVERGLOW LANTERN MINDCARE PLLC NPI is 1871464248. The provider is registered as an organization entity type.

The provider's business location address is:

1011 E MAIN ST STE 310A
RICHMOND, VA
ZIP 23219-537
Phone: (305) 542-9956

The provider's authorized official is Victoria Isabel Tamayo-mchale .
The authorized official title is President and has the following contact phone number (305) 542-9956.

The enumeration date for this NPI number is 9/17/2025 and was last updated on 9/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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