Lumina Wellness Therapy Professional Corporation
NPI #1467206961 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1467206961
- Entity Type
- Organization
- Organization Name
- Lumina Wellness Therapy Professional Corporation
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 12, 2024
- Last Updated
- Apr 12, 2024
Practice Location
- Address
- 3910 APPLEGATE CT
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22408-9639
- Phone
- (202) 573-7103
Authorized Official
- Name
- SUSAN LINDSAY COLE, LCSW
- Title
- OWNER, PSYCHOTHERAPIST
- Phone
- (202) 573-7103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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