Organization
LUMINA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE COFFEE LPC, NCC, CCMHC (OWNER)
(912) 633-9414
Entity
Organization
Contact information
Practice address
5805 GEORGIA HIGHWAY 21 S STE 204, RINCON, GA 31326-5511
(912) 633-9414
(912) 812-0053
Mailing address
5805 GEORGIA HIGHWAY 21 S STE 204, RINCON, GA 31326-5511
(912) 633-9414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/27/2024
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