| NPI | 1881313187 |
|---|---|
| Doing Business As | LUMOS YOUTH COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JOSHUA S. VINEYARD CEO 801-915-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 163W00000X Registered Nurse | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251300000X Local Education Agency (LEA) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-07-22 |