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Organization
OBOSE BEHAVIORAL HEALTH & WELLNESS CLINIC LLC
Active
Organization
OBOSE BEHAVIORAL HEALTH & WELLNESS CLINIC LLC
Active
Other names
Obose Mental Health Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE AKHOASEGBE EHICHIOYA PMH-NP (OWNER)
(703) 973-0176
Entity
Organization
Contact information
Practice address
3130 GOLANSKY BLVD STE 201, WOODBRIDGE, VA 22192-4268
(703) 973-0176
(571) 428-2027
Mailing address
3130 GOLANSKY BLVD STE 201, WOODBRIDGE, VA 22192-4268
(703) 973-0176
(571) 428-5076
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
10/03/2026
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