Organization
SHINING STAR PSYCHIATRIC CARE LLC
Active
Other names
MELITA WILSON-PRIMUS
Organization subpart
No
Provider details
NPI number
Authorized official
MELITA WILSON PRIMUS (PRESIDENT)
(804) 470-9371
Entity
Organization
Contact information
Practice address
2807 N PARHAM RD STE 311, RICHMOND, VA 23294-4410
(940) 249-0272
Mailing address
2807 N PARHAM RD STE 311, RICHMOND, VA 23294-4410
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
09/02/2025
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