Organization
PROSPERITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONI SOULE PMHNP (OWNER/PROVIDER)
(757) 342-6398
Entity
Organization
Contact information
Practice address
8401 MAYLAND DR STE V, RICHMOND, VA 23294-4648
(757) 903-5779
Mailing address
8401 MAYLAND DR STE S, RICHMOND, VA 23294-4648
(757) 903-5779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
05/15/2026
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