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Organization

LUCIDITY BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RACHAEL SIMONOFF WEXLER JD (CEO)
(424) 316-2501
Entity
Organization

Contact information

Practice address
11500 W OLYMPIC BLVD STE 399, LOS ANGELES, CA 90064-1530
(310) 729-5604
(310) 919-1919
Mailing address
11500 W OLYMPIC BLVD STE 399, LOS ANGELES, CA 90064-1530
(310) 729-5604
(310) 919-1919

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
171M00000X
Case Manager/Care Coordinator
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
02/04/2022
Last updated
08/24/2026
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