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General NPI Number Information
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NPI Number | 1649076456
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Entity Type | Organization
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Legal Business Name | LUMINOUS MIND INDIVIDUAL, MARRIAGE AND FAMILY THERAPY, P.C.
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 633 W 5TH ST STE 2600
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City | LOS ANGELES
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State | CA
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Zip | 90071-2053
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Country | US
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Telephone | 213-461-0848
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Fax |
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Provider Business Mailing Address
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Address Line | 633 W 5TH ST STE 2600
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City | LOS ANGELES
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State | CA
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Zip | 90071-2053
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Country | US
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Telephone | 213-461-0848
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YINLING SUN
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Credential | LMFT
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Telephone | 213-631-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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