Organization
LUCID PSYCHIATRIC PRACTICE LLC
Active
Other names
Centered Counseling Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ANDERSON (OWNER)
(301) 351-1061
Entity
Organization
Contact information
Practice address
1200 E JOPPA RD, SUITE A, TOWSON, MD 21286-5810
(443) 632-9302
(443) 798-2772
Mailing address
1200 E JOPPA RD, SUITE A, TOWSON, MD 21286-5810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R184691
MD
Other
Enumeration date
03/21/2017
Last updated
05/04/2017
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