Provider Demographics
NPI:1598255804
Name:LUNA PSYCHOLOGY GROUP, P.A.
Entity Type:Organization
Organization Name:LUNA PSYCHOLOGY GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YALEMNI
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNA DELAURIER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:786-508-2207
Mailing Address - Street 1:7600 S RED RD STE 127
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5421
Mailing Address - Country:US
Mailing Address - Phone:786-508-2207
Mailing Address - Fax:
Practice Address - Street 1:7600 S RED RD STE 127
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5421
Practice Address - Country:US
Practice Address - Phone:786-508-2207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)