Provider Demographics
NPI:1245544600
Name:LUMINOUS THERAPY INC.
Entity type:Organization
Organization Name:LUMINOUS THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:BARTEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:405-365-3728
Mailing Address - Street 1:3750 W. MAIN ST.
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072
Mailing Address - Country:US
Mailing Address - Phone:405-365-3728
Mailing Address - Fax:405-321-8581
Practice Address - Street 1:3750 W. MAIN ST.
Practice Address - Street 2:SUITE 106
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072
Practice Address - Country:US
Practice Address - Phone:405-365-3728
Practice Address - Fax:405-321-8581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK991106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty