Healthcare Provider Details
I. General information
NPI: 1013827492
Provider Name (Legal Business Name): LUMINATE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
444 SYDNEY ST SE
ATLANTA GA
30312-3230
US
IV. Provider business mailing address
444 SYDNEY ST SE
ATLANTA GA
30312-3230
US
V. Phone/Fax
- Phone: 404-991-6755
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXANDRA
SAVELA
Title or Position: OWNER
Credential:
Phone: 404-991-6755