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Organization

LEMICH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY CHARLES LEMICH PHD, LPC (OWNER)
(240) 247-7399
Entity
Organization

Contact information

Practice address
5215 COLLEY AVE STE 113, NORFOLK, VA 23508-2166
(757) 536-1233
Mailing address
1809 ARA ST, NORFOLK, VA 23503-4101
(240) 247-7399

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699349365
NPI
Enumeration date
07/05/2022
Last updated
07/05/2022
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