LUMINOS WELLNESS RETREAT LLC NPI 1891675047

NPI Information

  • NPI: 1891675047
  • Provider Name: LUMINOS WELLNESS RETREAT LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 1811 N AUSTIN AVE STE 204
    GEORGETOWN, TX
    ZIP 78626
  • Phone: (512) 688-5432

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NPI Details

LUMINOS WELLNESS RETREAT LLC is a rehabilitation clinic center in Georgetown, TX. LUMINOS WELLNESS RETREAT LLC NPI is 1891675047. The provider is registered as an organization entity type.

The provider's business location address is:

1811 N AUSTIN AVE STE 204
GEORGETOWN, TX
ZIP 78626-628
Phone: (512) 688-5432

The provider's authorized official is Mark Weiss .
The authorized official title is Managing Director and has the following contact phone number (302) 586-4667.

The enumeration date for this NPI number is 9/6/2025 and was last updated on 9/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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