Prime Psych Va, Llc

LBN: Prime Psych Va, Llc
Prime Psych Va, Llc is an health care organization with primary practice located at 7751 Squirrel Level Rd , North Dinwiddie VA 23803-7637. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Prime Psych Va, Llc can be contacted via phone (804) 695-6633, or through Rose, Frank Robert via phone (804) 695-6633.

Contact Information

Primary practice address
7751 Squirrel Level Rd North Dinwiddie VA 23803-7637
Phone: (804) 695-6633
Fax: (855) 978-2324
Website:
Map and Directions
Authorized official contact:
Name: Rose, Frank Robert PSYD
Phone: (804) 695-6633

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1306515812
LBN Legal business name Prime Psych Va, Llc
DBA Doing business as
Authorized official Rose, Frank Robert PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2021
Last updated Sep 30th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306515812 NPPES
Other 1043738206 NPI TYPE 1
Other 0810005750 NPI TYPE 1

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