Organization · Type 2 NPI

Luminous Mind Inc

Community/Behavioral Health Agency · Roseville, MN

NPI number 1588015168 Active · reactivated Apr 4, 2019

Practice location

1611 County Road B W Ste 202
Roseville, MN 55113-4053

Fax (651) 358-2996

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Adult Development & Aging Psychologist 103TA0700XNone listed
Clinical Psychologist 103TC0700XNone listed
Health Psychologist 103TH0004XNone listed
Community/Behavioral Health Agency Primary 251S00000X4892 (MN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1588015168

Luminous Mind Inc's National Provider Identifier is 1588015168, issued on Jun 25, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Roseville, MN. The record was last updated on Jan 29, 2020.