| Luminous Alignment- Lual Llc | |
|
209 Coventry Dr Hutto TX 78634-2361 | |
| (929) 461-5500 | |
| Not Available |
| Full Name | Luminous Alignment- Lual Llc |
|---|---|
| Speciality | Social Worker |
| Location | 209 Coventry Dr, Hutto, Texas |
| Authorized Official Name and Position | Julie Tollu (OWNER) |
| Authorized Official Contact | 9294615500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Alignment- Lual Llc 209 Coventry Dr Hutto TX 78634-2361 Ph: (929) 461-5500 | Luminous Alignment- Lual Llc 209 Coventry Dr Hutto TX 78634-2361 Ph: (929) 461-5500 |
| NPI Number | 1558198762 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 3375074818 |
|---|---|
| Medicare Enrollment ID | O20241008001579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558198762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie Tollu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316684186 PECOS PAC ID: 8022498864 Enrollment ID: I20220711001206 |
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