| Lucent Outpatient Services Llc | |
|
4807 Spicewood Springs Rd Ste 1100 Austin TX 78759-8435 | |
| (512) 757-7835 | |
| Not Available |
| Full Name | Lucent Outpatient Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4807 Spicewood Springs Rd Ste 1100, Austin, Texas |
| Authorized Official Name and Position | Robert Roller (OWNER) |
| Authorized Official Contact | 5129687402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucent Outpatient Services Llc 4807 Spicewood Springs Rd Ste 1100 Austin TX 78759-8435 Ph: () - | Lucent Outpatient Services Llc 4807 Spicewood Springs Rd Ste 1100 Austin TX 78759-8435 Ph: (512) 757-7835 |
| NPI Number | 1558143271 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558143271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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