Lumos Therapy LLC
NPI #1477239861 in Charleston, Illinois
Provider Information
- NPI Number
- 1477239861
- Entity Type
- Organization
- Organization Name
- Lumos Therapy LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 22, 2023
- Last Updated
- Jun 22, 2023
Practice Location
- Address
- 707 22ND ST
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2310
- Phone
- (217) 765-8159
Authorized Official
- Name
- ALEXIS DEARING, LCPC
- Title
- OWNER
- Phone
- (217) 765-8159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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