Luminous Vale Plc
Social Worker, Clinical in Grandville, MI. Organization (NPI-2).
NPI number1962394726
StatusActive
Last updated in NPPESOct 3, 2026
Details
- NPI
- 1962394726
- Entity type
- Organization (NPI-2)
- Legal business name
- Luminous Vale Plc
- Organization subpart
- No
- Enumeration date
- Jul 16, 2025
- Certification date
- Oct 3, 2026
- Last updated
- Oct 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 104100000X | Social Worker | – | – |
Other names
- Luminous Vale Therapy Studio (Other Name)
Practice location
3061 Wren Spike Dr SwGrandville, MI 49418-2029
Phone 616-606-2974
Mailing address
3061 Wren Spike Dr SwGrandville, MI 49418-2029
Phone 616-445-9090
Authorized official
Antoinette Alexandria Vargas
Owner
6164459090
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