Lumina Mental Health Llc | |
1301 W Park Ave Ste G Ocean NJ 07712-3190 | |
(973) 424-7878 | |
Not Available |
Full Name | Lumina Mental Health Llc |
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Speciality | Social Worker |
Location | 1301 W Park Ave Ste G, Ocean, New Jersey |
Authorized Official Name and Position | Yarilyn Polanco (OWNER) |
Authorized Official Contact | 9734247878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lumina Mental Health Llc 1301 W Park Ave Ste G Ocean NJ 07712-3190 Ph: (973) 424-7878 | Lumina Mental Health Llc 1301 W Park Ave Ste G Ocean NJ 07712-3190 Ph: (973) 424-7878 |
NPI Number | 1962247825 |
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Provider Enumeration Date | 07/01/2024 |
Last Update Date | 07/01/2024 |
Certification Date | 07/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962247825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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