Organization
ESSENCE BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
ESSENCE BEHAVIORAL HEALTH SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN KODUAH-AGBO DNP, APRN, PMNP-BC (CEO)
(984) 221-9288
Entity
Organization
Contact information
Practice address
2700 NEABSCO COMMON PL STE 101, WOODBRIDGE, VA 22191-6767
(984) 221-9288
Mailing address
2700 NEABSCO COMMON PL STE 101, WOODBRIDGE, VA 22191-6767
(984) 221-9288
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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