Obose Behavioral Health & Wellness Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OBOSE BEHAVIORAL HEALTH & WELLNESS CLINIC LLC

Doing business as

Obose Mental Health Clinic LLC

Practice address

3130 Golansky Blvd Ste 201
Woodbridge, VA 22192-4268

Phone

(703) 973-0176

Fax

(571) 428-2027

NPI assigned

Jul 9, 2024

Last updated

Oct 3, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rose Akhoasegbe Ehichioya, PMH-NPNPI 1649960410

Title

Owner

Phone

(703) 973-0176

Specialties & licenses 1

Addresses

Other names 1

• Obose Mental Health Clinic LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rose Akhoasegbe Ehichioya, PMHNP, PHD

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
  • NPI 1649960410

  Multi-Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790985600000",
    "number": "1154168102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GOLANSKY BLVD STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924268",
            "telephone_number": "703-973-0176",
            "fax_number": "571-428-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GOLANSKY BLVD STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924268",
            "telephone_number": "703-973-0176",
            "fax_number": "571-428-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBOSE BEHAVIORAL HEALTH & WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A",
        "authorized_official_last_name": "EHICHIOYA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "AKHOASEGBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-973-0176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMH-NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obose Mental Health Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.