| Luminous Origins Therapy And Wellness Llc | |
|
11310 134th Ave N Dayton MN 55327-9741 | |
| (763) 443-7620 | |
| Not Available |
| Full Name | Luminous Origins Therapy And Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11310 134th Ave N, Dayton, Minnesota |
| Authorized Official Name and Position | Tara Lebaron (OWNER) |
| Authorized Official Contact | 7634437620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Origins Therapy And Wellness Llc 11310 134th Ave N Dayton MN 55327-9741 Ph: (763) 443-7620 | Luminous Origins Therapy And Wellness Llc 11310 134th Ave N Dayton MN 55327-9741 Ph: (763) 443-7620 |
| NPI Number | 1396547667 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396547667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Good Life Mental Halth Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13406 Pineview Ct, Dayton, MN 55327 Phone: 612-636-9268 | |
Hope & Grace Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13701 N Diamond Lake Rd, Dayton, MN 55327 Phone: 918-639-9067 |