| Lumina Child & Family Counseling Llc | |
|
601 W Nifong Blvd Suite 1b Columbia MO 65203-6804 | |
| (573) 442-9669 | |
| (573) 442-9670 |
| Full Name | Lumina Child & Family Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 W Nifong Blvd, Columbia, Missouri |
| Authorized Official Name and Position | Jason F Zoellers (OWNER/COUNSELOR) |
| Authorized Official Contact | 5736739546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumina Child & Family Counseling Llc 601 W Nifong Blvd Suite 1b Columbia MO 65203-6804 Ph: (573) 442-9669 | Lumina Child & Family Counseling Llc 601 W Nifong Blvd Suite 1b Columbia MO 65203-6804 Ph: (573) 442-9669 |
| NPI Number | 1477739167 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477739167 | NPI | - | NPPES |
| 491362505 | Medicaid | MO | |
| 11558000 | Other | MO | CAQH |
| 1619938875 | Other | MO | NPI, INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2003031572 (Missouri) | Primary |
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