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General NPI Number Information
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NPI Number | 1306647938
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Entity Type | Organization
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Legal Business Name | LUCENT PSYCH PLLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 450 ALASKAN WAY S STE 200
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City | SEATTLE
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State | WA
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Zip | 98104-2785
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Country | US
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Telephone | 509-596-1434
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Fax |
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE N
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City | SPOKANE
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State | WA
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Zip | 99201-0581
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Country | US
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Telephone | 509-596-1434
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Fax |
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Authorized Official
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Title or Position | OWNER/NP
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Name | DR. ANDREA ANCER LEAL
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Credential | DNP, PMHNP-BC, LMSW
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Telephone | 713-505-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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