LUCID AWAKENING LLC NPI 1205439411

NPI Information

NPI: 1205439411
Provider Name: LUCID AWAKENING, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3510 N CRAYCROFT RD APT 3305
TUCSON, AZ
ZIP 85718
Phone: (720) 316-9255
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LUCID AWAKENING, LLC is an adult mental health clinic center in Tucson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LUCID AWAKENING, LLC NPI is 1205439411. The provider is registered as an organization entity type.

The provider's business location address is:

3510 N CRAYCROFT RD APT 3305
TUCSON, AZ
ZIP 85718-269
Phone: (720) 316-9255

The provider's authorized official is Christine Clawley .
The authorized official title is Owner And Therapist and has the following contact phone number (720) 316-9255.

The enumeration date for this NPI number is 11/19/2020 and was last updated on 11/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	261QM0850X	Clinic/Center	Adult Mental Health	Yes
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1497294763	OTHER		NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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