| Luminary Counseling and Solutions, LLC | |
|
319 E Madison St Ste 2c Springfield IL 62701-3120 | |
| (217) 416-5078 | |
| Not Available |
| Full Name | Luminary Counseling and Solutions, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 319 E Madison St Ste 2c, Springfield, Illinois |
| Authorized Official Name and Position | Lauren Henton (REGISTERED AGENT, MANAGER) |
| Authorized Official Contact | 2174165078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminary Counseling and Solutions, LLC 319 E Madison St Ste 2c Springfield IL 62701-3120 | Luminary Counseling and Solutions, LLC 319 E Madison St Ste 2c Springfield IL 62701-3120 Ph: (217) 416-5078 |
| NPI Number | 1295357192 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295357192 | NPI | - | NPPES |
| 1417510397 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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