Provider Demographics
NPI:1558198762
Name:LUMINOUS ALIGNMENT- LUAL LLC
Entity type:Organization
Organization Name:LUMINOUS ALIGNMENT- LUAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-461-5500
Mailing Address - Street 1:209 COVENTRY DR
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-2361
Mailing Address - Country:US
Mailing Address - Phone:929-461-5500
Mailing Address - Fax:
Practice Address - Street 1:209 COVENTRY DR
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-2361
Practice Address - Country:US
Practice Address - Phone:929-461-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty