| Lumos Psychiatric Services Llc | |
|
14241 S Redwood Rd Ste 200 Bluffdale UT 84065-5216 | |
| (385) 342-2808 | |
| Not Available |
| Full Name | Lumos Psychiatric Services Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 14241 S Redwood Rd Ste 200, Bluffdale, Utah |
| Authorized Official Name and Position | Josh Vineyard (CEO) |
| Authorized Official Contact | 8019156007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumos Psychiatric Services Llc Po Box 1270 Riverton UT 84065-1270 Ph: () - | Lumos Psychiatric Services Llc 14241 S Redwood Rd Ste 200 Bluffdale UT 84065-5216 Ph: (385) 342-2808 |
| NPI Number | 1548141385 |
|---|---|
| Provider Enumeration Date | 09/09/2025 |
| Last Update Date | 09/09/2025 |
| Certification Date | 09/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548141385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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