# LUMINATE THERAPY COLLECTIVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Luminate Therapy Collective
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447985031
- **Authorized official:** JEANA M WESCOTT LMFT (OWNER/LMFT)
- **Authorized official phone:** (515) 897-9558

## Contact information

- **Practice address:** 307 VILLAGE PKWY, CIRCLE PINES, MN 55014
- **Practice address phone:** (515) 897-9558
- **Mailing address:** 6800 CEDAR LAKE RD S APT 224, MINNEAPOLIS, MN 55426-2879
- **Mailing address phone:** (515) 897-9558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2022
- **Last updated:** 07/19/2022