Lux Aeterna Holistic Therapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LUX AETERNA HOLISTIC THERAPY

Practice address

348 S Waverly Rd Ste 126
Holland, MI 49423-8102

Phone

(616) 834-5648

NPI assigned

Jan 23, 2023

Last updated

Feb 15, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Morris, MLPNPI 1235448499

Title

Owner/Therapist

Phone

(616) 834-5648

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra K Morris, M.A., LLP

  • Mental Health Counselor
  • Holland, MI
  • NPI 1235448499

  Counseling

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1417662586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 S WAVERLY RD STE 126",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494238102",
            "telephone_number": "616-834-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S WAVERLY RD STE 126",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494238102",
            "telephone_number": "616-834-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX AETERNA HOLISTIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "616-834-5648",
        "authorized_official_credential": "MLP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sandramorris@luxaeternaholistictherapy.com",
            "affiliation": "N",
            "address_1": "348 S Waverly Rd Ste 126",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494238102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Ludwig, CNM
• Kelli Rae Lund, MD
• Therese Lungaro, PA-C
• Mary F Lustig, AUD
• Brooke Lutsey
• Gregory Todd Lynas, D.C
• Rachel R. Lynn, LLPC
• Jacob Allen Lytle, DO
• M. Adam Kremer, M.D., PLC
• Flora Yan Ma

• Adult Mental Health Clinic/Center in Holland, MI
• Providers in Holland, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.