| Lumen Therapeutic Services, P.l.l.c. | |
|
54633 Salem Dr Shelby Township MI 48316-1374 | |
| (586) 804-1245 | |
| Not Available |
| Full Name | Lumen Therapeutic Services, P.l.l.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 54633 Salem Dr, Shelby Township, Michigan |
| Authorized Official Name and Position | Noor Al-omari (SOCIAL WORKER) |
| Authorized Official Contact | 5868041245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumen Therapeutic Services, P.l.l.c. 54633 Salem Dr Shelby Township MI 48316-1374 Ph: () - | Lumen Therapeutic Services, P.l.l.c. 54633 Salem Dr Shelby Township MI 48316-1374 Ph: (586) 804-1245 |
| NPI Number | 1457098162 |
|---|---|
| Provider Enumeration Date | 05/14/2022 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457098162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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