Primecare Support Services Llc

Mental Retardation & Developmental Disabilities - Psychology Clinic

15004 Olddale Rd, Centreville
    Virginia, 20120-1433

 240-899-0339    Maps & Directions
Primecare Support Services Llc is a Mental Retardation & Developmental Disabilities - Psychology Clinic in Centreville, Virginia. It is located at 15004 Olddale Rd, Centreville, VA and its contact number is 240-899-0339. The authorized person for Primecare Support Services Llc is Kenneth Ashu Agbor Ojong who is Ceo of the clinic and his/her contact number is 240-899-0339.
Primecare Support Services Llc Clinic
Complete Clinic Profile:
Primecare Support Services Llc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Primecare Support Services Llc
Specialization: Mental Retardation & Developmental Disabilities Psychology
Clinic Address:15004 Olddale Rd, Centreville,
Virginia, 20120-1433
Phone:240-899-0339
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Kenneth Ashu Agbor Ojong
Position: Ceo
Contact Number: 240-899-0339
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Primecare Support Services Llc clinic are as mentioned below.
NPI Number: 1033079066
NPI Enumeration Date: 12 Nov, 2025
NPI Last Update On: 12 Nov, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Primecare Support Services Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Community Health Primary
Mental Retardation & Developmental Disabilities Secondary
Home Health Secondary
Community/behavioral Health Secondary
In Home Supportive Care Secondary
Adult Day Care Secondary
Developmental Disabilities Secondary
Adult Mental Health Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Primecare Support Services Llc
15004 Olddale Rd,
Centreville, Virginia
Zip: 20120-1433
Phone Number: 240-899-0339
Patients can reach Primecare Support Services Llc at 15004 Olddale Rd, Centreville, Virginia or can call to book an appointment on 240-899-0339.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.