Organization · Type 2 NPI

Lumina Alliance

Mental Health Clinic/Center (Including Community Mental Health Center) · San Luis Obispo, CA

NPI number 1033761358 Active

Practice location

51 Zaca Ln Ste 150
San Luis Obispo, CA 93401-7319

Call (805) 781-6401 Map

Mailing address

PO Box 125
San Luis Obispo, CA 93406-0125

Other practice locations

555 S 13th St, Grover Beach, CA 93433-2866 · (805) 781-6401

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

2 other providers at this address

Other mental health clinic/center (including community mental health center) providers in San Luis Obispo

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NPI record

NPI: 1033761358
Entity type: Organization (Type 2)
Issued: Jul 16, 2019
Last updated: May 18, 2022
Status: Active

Other names

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Women's Shelter Program of San Luis Obispo dba Stand Strong · former legal business name

Authorized official

Karen K. Borges
Chief Operating Officer
(805) 720-3312

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033761358

Lumina Alliance's National Provider Identifier is 1033761358, issued on Jul 16, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Luis Obispo, CA. The record was last updated on May 18, 2022.