LUCIDITY WELLNESS GROUP LLC – NPI #1194590018
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

LUCIDITY WELLNESS GROUP LLC is a provider located in PANAMA CITY, FL. NPPES has assigned the NPI number 1194590018 to LUCIDITY WELLNESS GROUP LLC on November 21, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUCIDITY WELLNESS GROUP LLC below.

NPI Profile for
LUCIDITY WELLNESS GROUP LLC

NPI Number
1194590018
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LUCIDITY WELLNESS GROUP LLC
Primary location
803 JENKS AVE
STE 1A
PANAMA CITY, FL 32401
Phone: (850) 215-4060 Fax: (850) 481-1578
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA HARRIS
OWNER/PRACTICE MANAGER
Phone: (850) 215-4060
Updated
Certification Date
Nov 21, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
2084P0800X
- Psychiatry & Neurology / Psychiatry

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.