| Luminescence Counseling Inc | |
|
465 Se Riverside Dr Stuart FL 34994-2584 | |
| (772) 207-0716 | |
| (877) 857-2217 |
| Full Name | Luminescence Counseling Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 465 Se Riverside Dr, Stuart, Florida |
| Authorized Official Name and Position | Catherina Popa (PRESIDENT) |
| Authorized Official Contact | 7728127907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminescence Counseling Inc 465 Se Riverside Dr Stuart FL 34994-2584 Ph: (772) 207-0716 | Luminescence Counseling Inc 465 Se Riverside Dr Stuart FL 34994-2584 Ph: (772) 207-0716 |
| NPI Number | 1265967830 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265967830 | NPI | - | NPPES |
| 1922411917 | Medicaid | FL | |
| 1598205833 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW13243 (Florida) | Primary |
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