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

OBOSE BEHAVIORAL HEALTH & WELLNESS 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: October 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2026, Sep 14, 2026, Sep 10, 2026 and 4 more (7 updates tracked since 2024).

About Obose Behavioral Health & Wellness Clinic Llc NPPES

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

OBOSE BEHAVIORAL HEALTH & WELLNESS CLINIC LLC (NPI 1154168102), doing business as Obose Mental Health Clinic Llc, 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 BEHAVIORAL HEALTH & WELLNESS CLINIC LLC
Location Address3130 GOLANSKY BLVD STE 201Woodbridge, VA 22192-4268
Mailing Address3130 Golansky Blvd Ste 201Woodbridge, VA 22192-4268 · (703) 973-0176 · Fax (571) 428-5076
Fax(571) 428-2027
Organization SubpartNo
Authorized OfficialRose Akhoasegbe EhichioyaOwner · (703) 973-0176
Enumeration DateJuly 9, 2024
Last NPPES UpdateOctober 3, 20267 updates tracked since enumeration
NPPES CertifiedOctober 3, 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

Other Names 1

Doing Business AsObose Mental Health Clinic Llc

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
3130 GOLANSKY BLVD STE 201
WOODBRIDGE, VA 22192

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 Behavioral Health & Wellness Clinic LLC's NPI number?

The NPI number for Obose Behavioral Health & Wellness Clinic LLC is 1154168102. It was assigned to this organization in the NPPES registry on July 9, 2024. The provider is doing business as Obose Mental Health Clinic LLC.

Where is Obose Behavioral Health & Wellness Clinic LLC located?

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

What is Obose Behavioral Health & Wellness 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 Behavioral Health & Wellness Clinic LLC was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.