Lumen Pediatric Therapy, Llc is a
Behavior Analyst based in Saint Clair Shores, Michigan. Lumen Pediatric Therapy, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
26210 Harper Ave Ste 200, Saint Clair Shores, Michigan. It can be reached at their office (for appointments etc.) via phone at
(888) 485-8636.
NPI number for Lumen Pediatric Therapy, Llc is 1093445900 and their current mailing address is 26210 Harper Ave Ste 200, Saint Clair Shores, Michigan. Lumen Pediatric Therapy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1093445900.
Healthcare Provider's Profile
| Full Name | Lumen Pediatric Therapy, Llc |
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| Type | Facility |
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| Speciality | Behavior Analyst |
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| Location | 26210 Harper Ave Ste 200, Saint Clair Shores, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093445900
- Provider Enumeration Date: 06/14/2022
- Last Update Date: 02/11/2025
Medical Identifiers
Medical identifiers for Lumen Pediatric Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093445900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lumen Pediatric Therapy, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lumen Pediatric Therapy, Llc
26210 Harper Ave Ste 200,
Saint Clair Shores, MI 48081-2203
Ph: (888) 485-8636 | Lumen Pediatric Therapy, Llc
26210 Harper Ave Ste 200,
Saint Clair Shores, MI 48081-2203
Ph: (888) 485-8636 |
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