| Lucent Minds, Pllc | |
|
212 E Broadway St Prosper TX 75078-2935 | |
| (214) 764-6333 | |
| Not Available |
| Full Name | Lucent Minds, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 212 E Broadway St, Prosper, Texas |
| Authorized Official Name and Position | Jose M Santos (OWNER) |
| Authorized Official Contact | 2147646333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucent Minds, Pllc 2263 Woodcreek Carrollton TX 75006-1903 Ph: () - | Lucent Minds, Pllc 212 E Broadway St Prosper TX 75078-2935 Ph: (214) 764-6333 |
| NPI Number | 1689331795 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689331795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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