Organization
LUCENTRA WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON SIMS (CEO)
(252) 315-5165
Entity
Organization
Contact information
Practice address
801 TRAVIS STREET SUITE 210 PMB1656, HOUSTON, TX 77002-5719
(888) 314-0630
Mailing address
801 TRAVIS STREET SUITE 210 PMB1656, HOUSTON, TX 77002-5719
(888) 314-0630
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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