Organization
LUCID FLAME LLC
Active
Other names
Lucid Flame Body & Mind
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXI RADFORD (OWNER)
(419) 944-1847
Entity
Organization
Contact information
Practice address
4422 N RAVENSWOOD AVE # 1005, CHICAGO, IL 60640-5803
(419) 944-1847
Mailing address
1637 W WINONA ST APT 1, CHICAGO, IL 60640-0891
(419) 944-1847
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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