Provider Demographics
NPI:1710859525
Name:LUMIN MENTAL HEALTH LLC
Entity type:Organization
Organization Name:LUMIN MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:NOONAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:504-410-7324
Mailing Address - Street 1:1022 N ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3248
Mailing Address - Country:US
Mailing Address - Phone:907-917-3210
Mailing Address - Fax:
Practice Address - Street 1:821 N ST STE 102
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3285
Practice Address - Country:US
Practice Address - Phone:907-917-3210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty