Healthcare Provider Details

I. General information

NPI: 1659146587
Provider Name (Legal Business Name): PRIMECARE PSYCHIATRIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2917 WINDMILL RD STE 2
SINKING SPRING PA
19608-1679
US

IV. Provider business mailing address

2917 WINDMILL RD STE 2
SINKING SPRING PA
19608-1679
US

V. Phone/Fax

Practice location:
  • Phone: 484-513-3935
  • Fax: 484-513-3931
Mailing address:
  • Phone: 484-513-3935
  • Fax: 484-513-3931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TESSY ALOZIE
Title or Position: CRNP
Credential:
Phone: 484-513-3935