NPI Code Details Logo

NPI 1356295737

NPI 1356295737 : LUCID HEALING PLLC : LAYTON, UT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1356295737
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LUCID HEALING PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/23/2026
-----------------------------------------------------
    Last Update Date     |    03/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1217 W 1200 N 
-----------------------------------------------------
    City                 |    LAYTON
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84041-2046
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-633-9133
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1706 N 1200 W # 2027 
-----------------------------------------------------
    City                 |    LAYTON
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84041-5716
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-215-9822
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGING MEMBER
-----------------------------------------------------
    Name                 |    MR. BRENNAN  HOWICK 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    801-215-9822
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.