| Lumos Therapy Llc | |
|
707 22nd St Charleston IL 61920-2310 | |
| (217) 765-8159 | |
| Not Available |
| Full Name | Lumos Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 707 22nd St, Charleston, Illinois |
| Authorized Official Name and Position | Alexis Dearing (OWNER) |
| Authorized Official Contact | 2177658159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumos Therapy Llc 707 22nd St Charleston IL 61920-2310 Ph: (217) 765-8159 | Lumos Therapy Llc 707 22nd St Charleston IL 61920-2310 Ph: (217) 765-8159 |
| NPI Number | 1477239861 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477239861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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