Organization
LUMIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELICA PEREZ PHD (OWNER)
(845) 535-3233
Entity
Organization
Contact information
Practice address
306A MILLS AVE, GREENVILLE, SC 29605-4022
(845) 535-3233
(845) 205-4085
Mailing address
306 MILLS AVE, GREENVILLE, SC 29605-4022
(845) 535-3233
(845) 205-8045
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
05/23/2022
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