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General NPI Number Information
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NPI Number | 1366339657
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Entity Type | Organization
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Legal Business Name | LUCIDITY HEALING LLC
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 2176 COLLEGE DR
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City | CLEARWATER
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State | FL
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Zip | 33764-4818
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Country | US
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Telephone | 727-415-2170
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Fax |
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Provider Business Mailing Address
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Address Line | 1593 S HIGHLAND AVE # 333
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City | CLEARWATER
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State | FL
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Zip | 33756-2386
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Country | US
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Telephone | 727-386-9898
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Fax | 727-232-9306
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Authorized Official
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Title or Position | CEO
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Name | EMILY STEVENS
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Credential | MSW
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Telephone | 727-415-2170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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