# LUCID PSYCHIATRIC PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centered Counseling Services, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235660457
- **Authorized official:** BRIAN ANDERSON (OWNER)
- **Authorized official phone:** (301) 351-1061

## Contact information

- **Practice address:** 1200 E JOPPA RD, SUITE A, TOWSON, MD 21286-5810
- **Practice address phone:** (443) 632-9302
- **Practice address fax:** (443) 798-2772
- **Mailing address:** 1200 E JOPPA RD, SUITE A, TOWSON, MD 21286-5810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R184691 | MD | Yes |

## Other

- **Enumeration date:** 03/21/2017
- **Last updated:** 05/04/2017
