| Luminous Counseling & Consulting Llc | |
|
3309 Bob Wallace Ave Sw Ste 1 Huntsville AL 35805-4007 | |
| (256) 686-9195 | |
| (256) 304-5381 |
| Full Name | Luminous Counseling & Consulting Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3309 Bob Wallace Ave Sw Ste 1, Huntsville, Alabama |
| Authorized Official Name and Position | Joshua Ryan Howell (OWNER) |
| Authorized Official Contact | 2566869195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Counseling & Consulting Llc 3309 Bob Wallace Ave Sw Ste 1 Huntsville AL 35805-4007 Ph: (256) 686-9195 | Luminous Counseling & Consulting Llc 3309 Bob Wallace Ave Sw Ste 1 Huntsville AL 35805-4007 Ph: (256) 686-9195 |
| NPI Number | 1811374507 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 0840601290 |
|---|---|
| Medicare Enrollment ID | O20201116002840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811374507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C2421A (Alabama) | Primary |
| Provider Name | Sandy Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730254590 PECOS PAC ID: 1254742604 Enrollment ID: I20201116003093 |
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