# LUMOS ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lumos Youth Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881313187
- **Authorized official:** JOSHUA S. VINEYARD (CEO)
- **Authorized official phone:** (801) 915-6007

## Contact information

- **Practice address:** 14241 S REDWOOD RD STE 300, BLUFFDALE, UT 84065-5223
- **Practice address phone:** (385) 342-2808
- **Mailing address:** PO BOX 1270, RIVERTON, UT 84065-1270
- **Mailing address phone:** (801) 915-6007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/22/2022
- **Last updated:** 07/22/2023