Organization
OBOSE MENTAL HEALTH CLINIC
Active
Other names
Obose Mental Health Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE AKHOASEGBE EHICHIOYA PHD, PMHNP-BC (OWNER)
(703) 973-0176
Entity
Organization
Contact information
Practice address
1684 ROSEDALE CT, WOODBRIDGE, VA 22191-3014
(703) 973-0176
(571) 428-2027
Mailing address
1684 ROSEDALE CT, WOODBRIDGE, VA 22191-3014
(703) 973-0176
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
12/18/2024
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