Provider Demographics
NPI:1659254621
Name:JUST MIND PSYCHIATRY LLC
Entity type:Organization
Organization Name:JUST MIND PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:IVY
Authorized Official - Middle Name:DZIFA
Authorized Official - Last Name:DZIVENU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-275-5935
Mailing Address - Street 1:2807 N PARHAM RD STE 320
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4458
Mailing Address - Country:US
Mailing Address - Phone:571-275-5935
Mailing Address - Fax:877-565-1607
Practice Address - Street 1:2807 N PARHAM RD STE 320
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4458
Practice Address - Country:US
Practice Address - Phone:571-275-5935
Practice Address - Fax:877-565-1607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)