Provider Demographics
NPI:1801953070
Name:LUI, ELVINA (MFT)
Entity type:Individual
Prefix:
First Name:ELVINA
Middle Name:
Last Name:LUI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 E UNION ST STE D
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-3945
Mailing Address - Country:US
Mailing Address - Phone:626-464-1651
Mailing Address - Fax:
Practice Address - Street 1:35 E UNION ST STE D
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-3945
Practice Address - Country:US
Practice Address - Phone:626-464-1651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA51046OtherCALIFORNIA BOARD OF BEHAVIORAL SCIENCES