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Organization
LUMINESCENCE COUNSELING INC
Active
Organization
LUMINESCENCE COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINA POPA (PRESIDENT)
(772) 812-7907
Entity
Organization
Contact information
Practice address
465 SE RIVERSIDE DR, STUART, FL 34994-2584
(772) 207-0716
(877) 857-2217
Mailing address
465 SE RIVERSIDE DR, STUART, FL 34994-2584
(772) 207-0716
(877) 857-2217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13243
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598205833
—
FL
05
—
1922411917
—
FL
Enumeration date
04/20/2017
Last updated
01/05/2022
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