Healthcare Provider Details

I. General information

NPI: 1467320515
Provider Name (Legal Business Name): ARLUCENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 66TH AVE N
BROOKLYN CENTER MN
55430-1718
US

IV. Provider business mailing address

2901 66TH AVE N
BROOKLYN CENTER MN
55430-1718
US

V. Phone/Fax

Practice location:
  • Phone: 612-234-5012
  • Fax:
Mailing address:
  • Phone: 612-234-5012
  • 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 Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAFAEL LEWIS
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: M.A., LADC
Phone: 612-234-5012