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
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
03/16/2023
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