DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LUMINOUS MIND INC

Deactivated Organization

LUMINOUS MIND INC is a Community/Behavioral Health organization located in ROSEVILLE, Minnesota. NPI 1588015168 is deactivated in the NPPES registry. Verify at CMS.

Community/Behavioral Health · ROSEVILLE, MN

This NPI has been deactivated. The record was deactivated on December 20, 2017. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1588015168
Provider Type
Organization
NPI Issued
Jun 25, 2016 (1.4876712328767 yrs)
Last Updated
Jan 29, 2020
Deactivated
Dec 20, 2017
License
4892 (MN)

Practice Information

Address
1611 COUNTY ROAD B W STE 202
ROSEVILLE, MN, 551134053
Browse MN providers · Browse ZIP 55113
Phone
6513001112
Fax
6513582996
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Health Psychologist
Additional Specialty
Community/Behavioral Health
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.