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Organization

LUMOS PSYCHIATRIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSH VINEYARD (CEO)
(801) 915-6007
Entity
Organization

Contact information

Practice address
14241 S REDWOOD RD STE 200, BLUFFDALE, UT 84065-5216
(385) 342-2808
Mailing address
PO BOX 1270, RIVERTON, UT 84065-1270

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
09/09/2025
Last updated
09/09/2025
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