| Lumos Mental Health, Pllc | |
|
10151 Deerwood Park Blvd Bldg 200 Jacksonville FL 32256-0566 | |
| (904) 906-6754 | |
| Not Available |
| Full Name | Lumos Mental Health, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10151 Deerwood Park Blvd Bldg 200, Jacksonville, Florida |
| Authorized Official Name and Position | Julie Margarita Smith (OWNER) |
| Authorized Official Contact | 9043221232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumos Mental Health, Pllc 7643 Gate Pkwy Ste 104-1381 Jacksonville FL 32256-3092 Ph: (904) 906-6754 | Lumos Mental Health, Pllc 10151 Deerwood Park Blvd Bldg 200 Jacksonville FL 32256-0566 Ph: (904) 906-6754 |
| NPI Number | 1457190126 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457190126 | NPI | - | NPPES |
| 1588160303 | Other | MY INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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