Provider Demographics
NPI:1144767435
Name:HERETOIU, LUMINITA DANIELA (LMHC)
Entity Type:Individual
Prefix:
First Name:LUMINITA
Middle Name:DANIELA
Last Name:HERETOIU
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 NW 150TH AVE
Mailing Address - Street 2:109
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2877
Mailing Address - Country:US
Mailing Address - Phone:954-639-9873
Mailing Address - Fax:
Practice Address - Street 1:1931 NW 150TH AVE
Practice Address - Street 2:109
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2877
Practice Address - Country:US
Practice Address - Phone:954-639-9873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 14570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health