Organization
NOMAD HEALING PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS JERALD LUMPKIN III LMFT (OWNER/ THERAPIST)
(831) 809-4634
Entity
Organization
Contact information
Practice address
1601 CARMEN DR STE 215C, CAMARILLO, CA 93010-3105
(831) 809-4634
Mailing address
PO BOX 952, NEWBURY PARK, CA 91319-0952
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265771935
—
CA
Enumeration date
05/18/2020
Last updated
05/18/2020
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