MEDICARE: LUMII LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1841166220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMII LLC

Provider Business Mailing Address
First Line	:	7126 CRYSTAL VALLEY DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5994
Country	:	US
Telephone Number	:	254-534-4627
Fax Number	:	512-817-3012

Provider Business Practice Location Address
First Line	:	7126 CRYSTAL VALLEY DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5994
Country	:	US
Telephone Number	:	254-534-4627
Fax Number	:

Authorized Official
Title or Position	:	BOARD CERTIFIED BEHAVIOR ANALYST
Name	:	BRENDA RAMOS
Credential	:	MA, BCBA, LBA
Telephone Number	:	254-534-4627

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	12/01/2025

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Directions to “LUMII LLC ” Practice Location

Language	Start Address	Practice Location

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