Organization
LUMINA MIND AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M ROSS PMHNP-BC (CEO)
(602) 763-8652
Entity
Organization
Contact information
Practice address
14441 W MCDOWELL RD STE B102, GOODYEAR, AZ 85395-2519
(602) 763-8652
Mailing address
20044 N 68TH DR, GLENDALE, AZ 85308-5594
(602) 763-8652
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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