| Lumen Pediatric Therapy, Llc | |
|
26210 Harper Ave Ste 200 Saint Clair Shores MI 48081-2203 | |
| (888) 485-8636 | |
| (586) 218-3367 |
| Full Name | Lumen Pediatric Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 26210 Harper Ave Ste 200, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Nicholle Mehr (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8884858636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumen Pediatric Therapy, Llc 26210 Harper Ave Ste 200 Saint Clair Shores MI 48081-2203 Ph: (888) 485-8636 | Lumen Pediatric Therapy, Llc 26210 Harper Ave Ste 200 Saint Clair Shores MI 48081-2203 Ph: (888) 485-8636 |
| NPI Number | 1093445900 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 08/18/2024 |
| Certification Date | 08/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093445900 | NPI | - | NPPES |
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