Provider Demographics
NPI:1003668880
Name:GUIDING LUMINA
Entity Type:Organization
Organization Name:GUIDING LUMINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:LUZ
Authorized Official - Last Name:MARGULIS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:774-334-1099
Mailing Address - Street 1:881 WORCESTER ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2087
Mailing Address - Country:US
Mailing Address - Phone:774-334-1099
Mailing Address - Fax:
Practice Address - Street 1:182 W CENTRAL ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3756
Practice Address - Country:US
Practice Address - Phone:774-334-1099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty