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Organization

NEUROPRISM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY LEMITE PH.D. (OWNER/PROVIDER)
(804) 815-8519
Entity
Organization

Contact information

Practice address
12624 CRATHES LN, CHESTERFIELD, VA 23838-5342
(804) 815-8519
Mailing address
PO BOX 653, CHESTERFIELD, VA 23832-0009

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0803000246
LICENSE
VA
05
3001548697
VA
Enumeration date
11/12/2025
Last updated
11/12/2025
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