Provider Demographics
NPI:1083459747
Name:LUMINOUS PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:LUMINOUS PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR & LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFFES
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-S
Authorized Official - Phone:301-802-9421
Mailing Address - Street 1:7 WINDWHISPER LN
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-3474
Mailing Address - Country:US
Mailing Address - Phone:301-802-9421
Mailing Address - Fax:
Practice Address - Street 1:7 WINDWHISPER LN
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-3474
Practice Address - Country:US
Practice Address - Phone:301-802-9421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty