Healthcare Provider Details

I. General information

NPI: 1841047511
Provider Name (Legal Business Name): LUCID LIFE BEHAVIORAL HEALTH MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 N MILPAS ST UNIT 1B
SANTA BARBARA CA
93103-3294
US

IV. Provider business mailing address

331 N MILPAS ST UNIT 1B
SANTA BARBARA CA
93103-3294
US

V. Phone/Fax

Practice location:
  • Phone: 805-365-4095
  • Fax:
Mailing address:
  • Phone: 805-365-4095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRITTANY DROZD
Title or Position: COO
Credential: MSW
Phone: 401-441-1626