Organization
LUMOS COUNSELING & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DALIA AL-MANSY LCPC (PSYCHOTHERAPIST/OWNER)
(410) 852-4435
Entity
Organization
Contact information
Practice address
7270 DARBY DOWNS UNIT K, ELKRIDGE, MD 21075-5435
(410) 852-4435
Mailing address
7270 DARBY DOWNS UNIT K, ELKRIDGE, MD 21075-5435
(410) 852-4435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225229500
—
MD
Enumeration date
11/02/2018
Last updated
09/03/2024
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