Organization
LUMA THERAPY LLC
Active
Other names
Luma Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AYAAN AHMED ALI (AUTHORIZED AGENT)
(651) 294-6850
Entity
Organization
Contact information
Practice address
20731 HOLYOKE AVE STE 232, LAKEVILLE, MN 55044-9825
(651) 294-6850
Mailing address
20731 HOLYOKE AVE STE 232, LAKEVILLE, MN 55044-9825
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
10/01/2025
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