Lumen Therapeutic Services, P.L.L.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LUMEN THERAPEUTIC SERVICES, P.L.L.C.

Practice address

54633 Salem Dr
Shelby Township, MI 48316-1374

Phone

(586) 804-1245

NPI assigned

May 14, 2022

Organization subpart

No

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

Authorized official

Name

Noor Al-Omari, LMSWNPI 1821611567

Title

Social Worker

Phone

(586) 804-1245

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noor Al-Omari

  • Clinical Social Worker
  • Troy, MI
  • NPI 1821611567
  NPD Authorized official

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1457098162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54633 SALEM DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54633 SALEM DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161374",
            "telephone_number": "586-804-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN THERAPEUTIC SERVICES, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "AL-OMARI",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "586-804-1245",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.