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General NPI Number Information
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NPI Number | 1003543778
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Entity Type | Organization
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Legal Business Name | LITE MENTAL HEALTH AND WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 780 PILOT HOUSE DR. BUILDING 300 SUITE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1993
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Country | US
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Telephone | 757-586-5927
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Fax | 866-561-2158
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Provider Business Mailing Address
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Address Line | 780 PILOT HOUSE DR. BUILDING 300 SUITE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1993
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Country | US
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Telephone | 757-586-5927
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Fax | 866-561-2158
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Authorized Official
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Title or Position | AO
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Name | SHARON GLORIA HARVEY
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Credential | PMHNP
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Telephone | 757-606-0315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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