Organization
LUMIRA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM CLARK LCSW (OWNER)
(518) 791-2267
Entity
Organization
Contact information
Practice address
1957 THOMPSON RD STE J, COOS BAY, OR 97420-2040
(518) 791-2267
Mailing address
1957 THOMPSON RD STE J, COOS BAY, OR 97420-2040
(518) 791-2267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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