Organization
LUMEN THERAPEUTIC SERVICES, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOOR AL-OMARI LMSW (SOCIAL WORKER)
(586) 804-1245
Entity
Organization
Contact information
Practice address
54633 SALEM DR, SHELBY TOWNSHIP, MI 48316-1374
(586) 804-1245
Mailing address
54633 SALEM DR, SHELBY TOWNSHIP, MI 48316-1374
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/14/2022
Last updated
05/16/2022
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