# LUCID CLINICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lucid Clinical Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053056226
- **Authorized official:** CRYSTAL SHELTON DR (DIRECTOR)
- **Authorized official phone:** (203) 313-3463

## Contact information

- **Practice address:** 11821 PARKLAWN DR STE 220, ROCKVILLE, MD 20852-2539
- **Practice address phone:** (301) 453-5162
- **Mailing address:** 11821 PARKLAWN DR STE 220, ROCKVILLE, MD 20852-2539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2022
- **Last updated:** 05/03/2022