| Luminous Minds LLC | |
|
500 E 3rd St Buchanan MI 49107-1404 | |
| (269) 224-0977 | |
| (269) 224-0978 |
| Full Name | Luminous Minds LLC |
|---|---|
| Speciality | Counselor |
| Location | 500 E 3rd St, Buchanan, Michigan |
| Authorized Official Name and Position | Rowan Kelley (OWNER) |
| Authorized Official Contact | 2692240977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Minds LLC 16367 Rynearson Rd Buchanan MI 49107-9470 Ph: (269) 224-0977 | Luminous Minds LLC 500 E 3rd St Buchanan MI 49107-1404 Ph: (269) 224-0977 |
| NPI Number | 1932082401 |
|---|---|
| Provider Enumeration Date | 07/30/2025 |
| Last Update Date | 04/13/2026 |
| Certification Date | 04/13/2026 |
| Medicare PECOS PAC ID | 5698252153 |
|---|---|
| Medicare Enrollment ID | O20260127001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932082401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Rowan Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699364497 PECOS PAC ID: 8325525892 Enrollment ID: I20260127001990 |
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