Organization
LUMINOUS MIND INC
Active
Other names
The Luminous Mind
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAYLA ASAMARAI PSYD, LP (OWNER)
(651) 300-1112
Entity
Organization
Contact information
Practice address
1611 COUNTY ROAD B W STE 202, ROSEVILLE, MN 55113-4053
(651) 300-1112
(651) 358-2996
Mailing address
1611 COUNTY ROAD B W STE 202, ROSEVILLE, MN 55113-4053
(651) 300-1112
(651) 358-2996
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TH0004X
Health Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
4892
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588015168
—
MN
Enumeration date
06/25/2016
Last updated
01/29/2020
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