Provider Demographics
NPI:1003543778
Name:LITE MENTAL HEALTH AND WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:LITE MENTAL HEALTH AND WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:GLORIA
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:757-606-0315
Mailing Address - Street 1:780 PILOT HOUSE DR.
Mailing Address - Street 2:BUILDING 300 SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-1993
Mailing Address - Country:US
Mailing Address - Phone:757-586-5927
Mailing Address - Fax:866-561-2158
Practice Address - Street 1:780 PILOT HOUSE DR.
Practice Address - Street 2:BUILDING 300 SUITE A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-1993
Practice Address - Country:US
Practice Address - Phone:757-586-5927
Practice Address - Fax:866-561-2158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty