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1457190126
LUMOS MENTAL HEALTH, PLLC
JACKSONVILLE, FL
NPI
1457190126
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Entity Type
Organization
Authorized Contact
JULIE MARGARITA SMITH
Owner
904-322-1232
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
LUMOS MENTAL HEALTH, PLLC
10151 DEERWOOD PARK BLVD BLDG 200
JACKSONVILLE, FL 32256-0566
Phone number: 904-906-6754
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Mailing Address
LUMOS MENTAL HEALTH, PLLC
7643 GATE PKWY STE 104-1381
JACKSONVILLE, FL 32256-3092
Phone number: 904-906-6754
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