# SHINING STAR PSYCHIATRIC CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MELITA WILSON-PRIMUS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053149211
- **Authorized official:** MELITA WILSON PRIMUS (PRESIDENT)
- **Authorized official phone:** (804) 470-9371

## Contact information

- **Practice address:** 2807 N PARHAM RD STE 311, RICHMOND, VA 23294-4410
- **Practice address phone:** (940) 249-0272
- **Mailing address:** 2807 N PARHAM RD STE 311, RICHMOND, VA 23294-4410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2024
- **Last updated:** 09/02/2025