Provider Demographics
NPI:1194516864
Name:LUMARA INTEGRATIVE HEALTH, PLLC
Entity type:Organization
Organization Name:LUMARA INTEGRATIVE HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-509-9168
Mailing Address - Street 1:680 N LAKE SHORE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3496
Mailing Address - Country:US
Mailing Address - Phone:872-253-8012
Mailing Address - Fax:
Practice Address - Street 1:680 N LAKE SHORE DR STE 110
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3496
Practice Address - Country:US
Practice Address - Phone:722-538-0128
Practice Address - Fax:773-516-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty