Provider Demographics
NPI:1700238169
Name:LUK, SHUNA CHEN (MS, LMHC, LCAT)
Entity Type:Individual
Prefix:
First Name:SHUNA
Middle Name:CHEN
Last Name:LUK
Suffix:
Gender:F
Credentials:MS, LMHC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1839
Mailing Address - Country:US
Mailing Address - Phone:516-437-2366
Mailing Address - Fax:
Practice Address - Street 1:1691 STEWART AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1839
Practice Address - Country:US
Practice Address - Phone:516-437-2366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000864101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health