# PEACE RAIN PMH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831820190
- **Authorized official:** AFUA BIYAH ADDO PMHNP (DR. PMHNP, DNP)
- **Authorized official phone:** (804) 503-7874

## Contact information

- **Practice address:** 8261 SHOPPERS SQ, MANASSAS, VA 20111-2176
- **Practice address phone:** (804) 503-7874
- **Mailing address:** 12163 FORMBY ST, BRISTOW, VA 20136-2031
- **Mailing address phone:** (804) 503-7874

## 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:** 06/18/2022
- **Last updated:** 06/18/2022