| Luminous Vitality Behavioral Health | |
|
800 Washington St Norwood MA 02062-3487 | |
| (781) 769-4006 | |
| (617) 581-6040 |
| Full Name | Luminous Vitality Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 800 Washington St, Norwood, Massachusetts |
| Authorized Official Name and Position | Ronald T. Lee (MD/OWNER) |
| Authorized Official Contact | 6178413620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Vitality Behavioral Health 100 Randall Rd Unit 1046 Wrentham MA 02093-7052 Ph: (617) 841-3620 | Luminous Vitality Behavioral Health 800 Washington St Norwood MA 02062-3487 Ph: (781) 769-4006 |
| NPI Number | 1871073387 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871073387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 245984 (Massachusetts) | Primary |
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