Provider Demographics
NPI:1467720011
Name:LUMIA, RAQUEL (MA, MS, LMHC)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:LUMIA
Suffix:
Gender:F
Credentials:MA, MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 ROYAL PALM BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-9165
Mailing Address - Country:US
Mailing Address - Phone:561-502-1500
Mailing Address - Fax:
Practice Address - Street 1:816 W CANAL ST S
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-2942
Practice Address - Country:US
Practice Address - Phone:561-308-3204
Practice Address - Fax:888-228-2908
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15291101YA0400X, 101YP2500X, 103K00000X, 101YM0800X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator