Organization
PRIME PSYCH VA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK ROBERT ROSE PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(804) 695-6633
Entity
Organization
Contact information
Practice address
7751 SQUIRREL LEVEL RD, NORTH DINWIDDIE, VA 23803-7637
(804) 695-6633
(855) 978-2324
Mailing address
1050 TEMPLE AVE # 524, COLONIAL HEIGHTS, VA 23834-2981
(804) 695-6633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810005750
VA LCP ID#
VA
01
—
1043738206
NPI TYPE 1
—
Enumeration date
09/08/2021
Last updated
01/21/2026
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