Healthcare Provider Details

I. General information

NPI: 1316861016
Provider Name (Legal Business Name): LUMEN HEALTH AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2931 7TH AVE
MARION IA
52302-3734
US

IV. Provider business mailing address

2110 LINCOLNSHIRE DR SE
CEDAR RAPIDS IA
52403-1607
US

V. Phone/Fax

Practice location:
  • Phone: 319-380-2580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: EMILY FREEMAN
Title or Position: NURSE PRACTITIONER, OWNER
Credential:
Phone: 319-380-2579