Organization
LUCID MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA BURGUERA PSYD (PSYCHOLOGIST)
(305) 439-6556
Entity
Organization
Contact information
Practice address
1110 BRICKELL AVE STE 407, MIAMI, FL 33131-3135
(786) 558-4526
(844) 364-7241
Mailing address
1110 BRICKELL AVE STE 407, MIAMI, FL 33131-3135
(786) 558-4526
(844) 364-7241
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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