| Lumos Mental Health Counseling Services Llc | |
|
7130 S 29th St Ste D8 Lincoln NE 68516-5886 | |
| (402) 205-5677 | |
| Not Available |
| Full Name | Lumos Mental Health Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 7130 S 29th St Ste D8, Lincoln, Nebraska |
| Authorized Official Name and Position | Michelina Hollister (OWNER) |
| Authorized Official Contact | 4022055677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumos Mental Health Counseling Services Llc 7130 S 29th St Ste D8 Lincoln NE 68516-5886 Ph: (402) 205-5677 | Lumos Mental Health Counseling Services Llc 7130 S 29th St Ste D8 Lincoln NE 68516-5886 Ph: (402) 205-5677 |
| NPI Number | 1740033836 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Medicare PECOS PAC ID | 0941641740 |
|---|---|
| Medicare Enrollment ID | O20240510001770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740033836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelina Ge Hollister |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407468218 PECOS PAC ID: 3173971009 Enrollment ID: I20231201002828 |
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