Organization
LUCIDITY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE HARRIS PMHNP (OWNER)
(850) 215-4060
Entity
Organization
Contact information
Practice address
747 JENKS AVE STE C, PANAMA CITY, FL 32401-2570
(850) 215-4060
(850) 695-9176
Mailing address
747 JENKS AVE STE C, PANAMA CITY, FL 32401-2570
(850) 215-4060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609395110
NPI
—
Enumeration date
04/11/2022
Last updated
04/11/2022
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