Lucidity Mental Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LUCIDITY MENTAL HEALTH LLC

Practice address

747 Jenks Ave Ste C
Panama City, FL 32401-2570

Phone

(850) 215-4060

Fax

(850) 695-9176

NPI assigned

Apr 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Marie Harris, PMHNPNPI 1609395110

Title

Owner

Phone

(850) 215-4060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Marie Harris, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Panama City, FL
  • NPI 1609395110
  Medicare reassignment Care Compare group NPD Authorized official
• Paula Allen, APRN, FNP-BC

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1750148524
  Medicare reassignment Care Compare group
• Sylvia Lynn Abercrombie-Broad

  • Behavior Technician
  • Callaway, FL
  • NPI 1033814611
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1184366007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 JENKS AVE STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012570",
            "telephone_number": "850-215-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 JENKS AVE STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012570",
            "telephone_number": "850-215-4060",
            "fax_number": "850-695-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIDITY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-215-4060",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609395110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Low Vision of Panama City LLC
• Eric Lowe
• Latonya Lowery
• Barbara A. Lubin, MD
• Emma Jobeth Lucas, BS
• Lucidity Wellness Group LLC
• Shanina Chantal Luckie
• Lumina Mind & Body Wellness LLC
• Melinda Ann Luther, ARNP-C
• Luxottica Retail North America Inc (Sears Optical #1069)

• Psychiatry Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.