Doctor Name: | DR. KEILI ADIYAH LUMIERE |
NPI Number: | 1154504710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 103 E Van Buren Suite 149 Eureka Springs, AR - 726323653 |
Business Phone Number: | 5093885768 |
Business Fax Number: | |
Mailing Address: | 103 E Van Buren, Suite 149 EUREKA SPRINGS |
State: | AR |
Postal Code: | 726323653 |
Phone Number: | 5093885768 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2007 |
NPI Last Update Date: | 12/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |