Luminous Mind Foundation Incorporated
NPI #1841090925 in Santa Teresa, New Mexico
Provider Information
- NPI Number
- 1841090925
- Entity Type
- Organization
- Organization Name
- Luminous Mind Foundation Incorporated
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 17, 2025
- Last Updated
- Oct 27, 2025
Practice Location
- Address
- 1301 COUNTRY CLUB RD
- City
- Santa Teresa
- State
- New Mexico
- ZIP Code
- 88008-9431
- Phone
- (915) 260-8113
Authorized Official
- Name
- DR. MARCOS PENA, EDD, LCSW, LADAC
- Title
- CEO
- Phone
- (915) 260-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Case Management |
| Home Health |
| Counselor - Mental Health — Mental Health |
| Community/Behavioral Health |
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