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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OBOSE MENTAL HEALTH CLINIC LLC
NPI 1154168102
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Active since July 09, 2024
3130 GOLANSKY BLVD STE 201, WOODBRIDGE, VA 22192(703) 973-0176(571) 428-2027 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Dec 18, 2024, Jul 9, 2024 (3 updates tracked since 2024).

About Obose Mental Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBOSE MENTAL HEALTH CLINIC LLC (NPI 1154168102) is a healthcare organization registered as a psychiatric/mental health in Woodbridge, Virginia and active in the NPI registry since July 2024. The organization lists Rose Akhoasegbe Ehichioya, Owner, as its authorized official.

NPPES Registry Identity

NPI1154168102
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameOBOSE MENTAL HEALTH CLINIC LLC
Location Address3130 GOLANSKY BLVD STE 201Woodbridge, VA 22192-4268
Mailing Address3130 Golansky Blvd Ste 201Woodbridge, VA 22192-4268 · (703) 973-0176
Phone(703) 973-0176
Fax(571) 428-2027
Organization SubpartNo
Authorized OfficialRose Akhoasegbe EhichioyaOwner · (703) 973-0176
Enumeration DateJuly 9, 2024
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1154168102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3130 GOLANSKY BLVD STE 201, Woodbridge, VA 22192
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Other Names 1

Doing Business AsObose Mental Health Clinic Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROSE AKHOASEGBE EHICHIOYA PMHNP, PHD
Nurse Practitioner (Psychiatric/Mental Health)
3130 GOLANSKY BLVD STE 201
WOODBRIDGE, VA 22192
Prince William County (703) 973-0176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obose Mental Health Clinic LLC's NPI number?

The NPI number for Obose Mental Health Clinic LLC is 1154168102. It was assigned to this organization in the NPPES registry on July 9, 2024.

Where is Obose Mental Health Clinic LLC located?

Obose Mental Health Clinic LLC is located at 3130 Golansky Blvd Ste 201, Woodbridge, VA 22192. The listed phone number is (703) 973-0176.

What is Obose Mental Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Obose Mental Health Clinic LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.