Provider Demographics
NPI:1295305985
Name:LUMA, TARSHEA SHARREL
Entity type:Individual
Prefix:MRS
First Name:TARSHEA
Middle Name:SHARREL
Last Name:LUMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 474
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:08518-0474
Mailing Address - Country:US
Mailing Address - Phone:917-208-7491
Mailing Address - Fax:
Practice Address - Street 1:97 BUSH AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2215
Practice Address - Country:US
Practice Address - Phone:347-788-3775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist