Organization
LUMINOUS PATH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS GUERRERO LMSW (THERAPIST/OWNER)
(269) 245-9455
Entity
Organization
Contact information
Practice address
8415 SHIRLEY CT APT 11, PORTAGE, MI 49024-4764
(269) 245-9455
Mailing address
8415 SHIRLEY CT APT 11, PORTAGE, MI 49024-4764
(269) 245-9455
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/18/2024
Last updated
05/22/2024
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