Organization · Type 2 NPI
Lucid Flame LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
NPI number
1538972781
Active
Practice location
4422 N Ravenswood Ave # 1005
Chicago, IL 60640-5803
Mailing address
1637 W Winona St Apt 1
Chicago, IL 60640-0891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1538972781
Lucid Flame LLC's National Provider Identifier is 1538972781, issued on Jan 30, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Jan 30, 2025.