Provider Demographics
NPI:1861261752
Name:PRIME MENTAL HEALTH & WELLNESS
Entity type:Organization
Organization Name:PRIME MENTAL HEALTH & WELLNESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:MRS
Authorized Official - First Name:AKUA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMPONSAH-ADJEI
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:540-930-4063
Mailing Address - Street 1:392 GARRISONVILLE RD STE 210B
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1576
Mailing Address - Country:US
Mailing Address - Phone:540-930-4063
Mailing Address - Fax:540-930-4066
Practice Address - Street 1:392 GARRISONVILLE RD STE 210B
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1576
Practice Address - Country:US
Practice Address - Phone:540-930-4063
Practice Address - Fax:540-930-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty