Healthcare Provider Details

I. General information

NPI: 1285579219
Provider Name (Legal Business Name): LUMINA COUNSELING & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23780 HARPER AVE STE B
SAINT CLAIR SHORES MI
48080-1481
US

IV. Provider business mailing address

29104 JEFFERSON AVE
SAINT CLAIR SHORES MI
48081-1389
US

V. Phone/Fax

Practice location:
  • Phone: 586-214-0145
  • Fax:
Mailing address:
  • Phone: 586-214-0145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARY JO CIANI
Title or Position: OWNER/THERAPIST
Credential: M.A., LPC
Phone: 586-214-0145