Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenixmides LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1023896586

Phoenixmides LLC is a Psychiatric/Mental Health Nurse Practitioner in Petersburg, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

591 Oakwood Cir
Petersburg, VA 23805-9339
Phone: (540) 204-2459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1023896586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oluwaseyi Soetan — Psychiatric Nurse Practitioner · (540) 204-2459
Other names Phoenixmides Mental Health & Wellness; Phoenixmides Mental Health & Wellness
NPI enumeratedSeptember 18, 2023
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address5706 Gossamer Ct, Moseley, VA 23120-2339

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