Luminous Mind INC

NPI #1588015168 in Roseville, Minnesota

Provider Information

NPI Number: 1588015168
Entity Type: Organization
Organization Name: Luminous Mind INC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jun 25, 2016
Last Updated: Jan 29, 2020

Practice Location

Address: 1611 COUNTY ROAD B W STE 202
City: Roseville
State: Minnesota
ZIP Code: 55113-4053
Phone: (651) 300-1112

Authorized Official

Name: DR. LAYLA ASAMARAI, PSYD, LP
Title: OWNER
Phone: (651) 300-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Adult Development & Aging — Adult Development & Aging	103TA0700X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Health — Health	103TH0004X
Community/Behavioral Health	251S00000X	Primary

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