| Lucid Counseling Center Llc. | |
|
12004 Burton St Clermont FL 34711-8853 | |
| (407) 607-0347 | |
| Not Available |
| Full Name | Lucid Counseling Center Llc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12004 Burton St, Clermont, Florida |
| Authorized Official Name and Position | Marcus Navarro (MANAGER) |
| Authorized Official Contact | 4075529096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucid Counseling Center Llc. 12004 Burton St Clermont FL 34711-8853 Ph: (407) 607-0347 | Lucid Counseling Center Llc. 12004 Burton St Clermont FL 34711-8853 Ph: (407) 607-0347 |
| NPI Number | 1326764432 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/19/2022 |
| Medicare PECOS PAC ID | 9234678426 |
|---|---|
| Medicare Enrollment ID | O20240903000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326764432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Paula S Navarro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912581968 PECOS PAC ID: 0143769331 Enrollment ID: I20240903000601 |
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