Provider Demographics
NPI:1578172664
Name:LUMAYE THERAPY, LLC
Entity Type:Organization
Organization Name:LUMAYE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST.
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUMAYE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:317-731-3029
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-0031
Mailing Address - Country:US
Mailing Address - Phone:317-731-3029
Mailing Address - Fax:
Practice Address - Street 1:1389 BUTTERMILK RD
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CO
Practice Address - Zip Code:80118-8213
Practice Address - Country:US
Practice Address - Phone:317-731-3029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty