Lumos, Theresa L
Lumos, Theresa L is an sole proprietor health care provider with primary practice located at 11000 Dillon Outer Rd , Rolla MO 65401-7854. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lumos, Theresa L can be contacted via phone (573) 382-6247.Contact Information
Primary practice address
11000 Dillon Outer Rd
Rolla MO 65401-7854
Phone: (573) 382-6247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2003032047 | Missouri |
Profile Details
| NPI number | 1578599973 |
|---|---|
| LBN Legal business name | Lumos, Theresa L |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2006 |
| Last updated | May 14th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578599973 | NPPES |
| Missouri | MEDICAID | 499142602 |
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