| Luminous Vale Plc | |
|
3061 Wren Spike Dr Sw Grandville MI 49418-2029 | |
| (616) 606-2974 | |
| Not Available |
| Full Name | Luminous Vale Plc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3061 Wren Spike Dr Sw, Grandville, Michigan |
| Authorized Official Name and Position | Antoinette Alexandria Vargas (OWNER) |
| Authorized Official Contact | 6166062974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Vale Plc 3061 Wren Spike Dr Sw Grandville MI 49418-2029 Ph: (616) 606-2974 | Luminous Vale Plc 3061 Wren Spike Dr Sw Grandville MI 49418-2029 Ph: (616) 606-2974 |
| NPI Number | 1962394726 |
|---|---|
| Provider Enumeration Date | 07/16/2025 |
| Last Update Date | 07/16/2025 |
| Certification Date | 07/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962394726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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