| Luminary Transitions | |
|
407 4th Street Suite 1 Crested Butte CO 81224 | |
| (573) 528-5258 | |
| Not Available |
| Full Name | Luminary Transitions |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 407 4th Street, Crested Butte, Colorado |
| Authorized Official Name and Position | Nici Graves (DIRECTOR OF OPERTATIONS) |
| Authorized Official Contact | 5735285258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminary Transitions Po Box 25 Gunnison CO 81230-0025 Ph: (573) 528-5258 | Luminary Transitions 407 4th Street Suite 1 Crested Butte CO 81224 Ph: (573) 528-5258 |
| NPI Number | 1689388118 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689388118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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