Organization · Type 2 NPI
Luminous Path Therapy
Mental Health Clinic/Center (Including Community Mental Health Center) · Portage, MI
NPI number
1902655178
Active
Practice location
8415 Shirley Ct Apt 11
Portage, MI 49024-4764
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...
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About NPI 1902655178
Luminous Path Therapy's National Provider Identifier is 1902655178, issued on May 18, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Portage, MI. The record was last updated on May 22, 2024.