THE LUMINESCENT MIND LLC NPI 1023704947

NPI Information

  • NPI: 1023704947
  • Provider Name: THE LUMINESCENT MIND, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 7901 4TH ST N STE 4000
    ST PETERSBURG, FL
    ZIP 33702
  • Phone: (786) 266-0108

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NPI Details

THE LUMINESCENT MIND, LLC is a mental health counselor in St Petersburg, FL. THE LUMINESCENT MIND, LLC NPI is 1023704947. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7901 4TH ST N STE 4000
ST PETERSBURG, FL
ZIP 33702-305
Phone: (786) 266-0108

The provider's authorized official is Katheryne Puentes .
The authorized official title is Ceo/founder/lmhc/lmft and has the following contact phone number (786) 266-0108.

The enumeration date for this NPI number is 4/13/2023 and was last updated on 6/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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