Provider Demographics
NPI:1225606486
Name:LUMEN FAMILY AND COUNSELING INC
Entity Type:Organization
Organization Name:LUMEN FAMILY AND COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCISCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-458-3976
Mailing Address - Street 1:17322 MURPHY AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5920
Mailing Address - Country:US
Mailing Address - Phone:714-293-2325
Mailing Address - Fax:
Practice Address - Street 1:17322 MURPHY AVE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5920
Practice Address - Country:US
Practice Address - Phone:949-312-1347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty