Luminous Path Therapy

NPI #1902655178 in Portage, Michigan

Provider Information

NPI Number
1902655178
Entity Type
Organization
Organization Name
Luminous Path Therapy
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
May 18, 2024
Last Updated
May 22, 2024

Practice Location

Address
8415 SHIRLEY CT APT 11
ZIP Code
49024-4764
Phone
(269) 245-9455

Authorized Official

Name
TRAVIS GUERRERO, LMSW
Title
THERAPIST/OWNER
Phone
(269) 245-9455

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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