| Lumina Wellness Therapy Professional Corporation | |
|
3910 Applegate Ct Fredericksburg VA 22408-9639 | |
| (202) 573-7103 | |
| Not Available |
| Full Name | Lumina Wellness Therapy Professional Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3910 Applegate Ct, Fredericksburg, Virginia |
| Authorized Official Name and Position | Susan Lindsay Cole (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 2025737103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumina Wellness Therapy Professional Corporation 3910 Applegate Ct Fredericksburg VA 22408-9639 Ph: (202) 573-7103 | Lumina Wellness Therapy Professional Corporation 3910 Applegate Ct Fredericksburg VA 22408-9639 Ph: (202) 573-7103 |
| NPI Number | 1467206961 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467206961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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