Healthcare Provider Details

I. General information

NPI: 1659291870
Provider Name (Legal Business Name): LUMINA COUNSELING AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 IONA ST
ERWIN TN
37650-1174
US

IV. Provider business mailing address

103 IONA ST
ERWIN TN
37650-1174
US

V. Phone/Fax

Practice location:
  • Phone: 423-430-9844
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: HALEY CIGARROA
Title or Position: OWNER/THERAPIST
Credential: LPC-MHSP
Phone: 423-430-9844