Luminous Origins Therapy and Wellness LLC

NPI #1396547667 in Dayton, Minnesota

Provider Information

NPI Number: 1396547667
Entity Type: Organization
Organization Name: Luminous Origins Therapy and Wellness LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 26, 2025
Last Updated: Mar 26, 2025

Practice Location

Address: 11310 134TH AVE N
City: Dayton
State: Minnesota
ZIP Code: 55327-9741
Phone: (763) 443-7620

Authorized Official

Name: TARA LEBARON
Title: OWNER
Phone: (763) 443-7620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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