| Luminate Therapy Collective | |
|
307 Village Pkwy Circle Pines MN 55014 | |
| (515) 897-9558 | |
| Not Available |
| Full Name | Luminate Therapy Collective |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 307 Village Pkwy, Circle Pines, Minnesota |
| Authorized Official Name and Position | Jeana M Wescott (OWNER/LMFT) |
| Authorized Official Contact | 5158979558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminate Therapy Collective 6800 Cedar Lake Rd S Apt 224 Minneapolis MN 55426-2879 Ph: (515) 897-9558 | Luminate Therapy Collective 307 Village Pkwy Circle Pines MN 55014 Ph: (515) 897-9558 |
| NPI Number | 1447985031 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447985031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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