MEDICARE: LUCID HEALING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1356295737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUCID HEALING PLLC

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

Provider Business Practice Location Address
First Line	:	1217 W 1200 N
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-2046
Country	:	US
Telephone Number	:	801-633-9133
Fax Number	:

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

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	03/12/2026

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