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General NPI Number Information
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NPI Number | 1932082401
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Entity Type | Organization
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Legal Business Name | LUMINOUS MINDS, LLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 500 E 3RD ST
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City | BUCHANAN
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State | MI
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Zip | 49107-1404
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Country | US
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Telephone | 269-224-0977
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Fax | 269-224-0978
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Provider Business Mailing Address
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Address Line | 500 E 3RD ST
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City | BUCHANAN
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State | MI
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Zip | 49107-1404
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Country | US
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Telephone | 269-224-0977
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Fax | 269-224-0978
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Authorized Official
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Title or Position | OWNER
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Name | ROWAN KELLEY
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Credential | MS, LPC, LMHC
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Telephone | 269-224-0977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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