Organization
LUMINOS WELLNESS RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEISS (MANAGING DIRECTOR)
(302) 586-4667
Entity
Organization
Contact information
Practice address
1811 N AUSTIN AVE STE 204, GEORGETOWN, TX 78626-4628
(512) 688-5432
Mailing address
PO BOX 1027, LIBERTY HILL, TX 78642-1027
(302) 586-4667
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2025
Last updated
09/12/2025
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