Organization
LITE AND FREE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY FARLEY DNP, PMHNP-BC (PRESIDENT)
(804) 991-4197
Entity
Organization
Contact information
Practice address
9157 ATLEE RD STE A, MECHANICSVILLE, VA 23116-2504
(804) 991-4197
(804) 723-5421
Mailing address
9157 ATLEE RD STE A, MECHANICSVILLE, VA 23116-2504
(804) 991-4197
(804) 723-5421
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14563827
CAQH
—
Enumeration date
08/17/2020
Last updated
08/17/2020
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