MEDICARE: LUMAR COUNSELING & FAMILY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	65876	TX

General Provider Information

NPI Number	:	1538429311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMAR COUNSELING & FAMILY SERVICES, LLC

Provider Business Mailing Address
First Line	:	5100 ELDORADO PKWY
Second Line	:	STE 102 #528
City	:	MCKINNEY
State	:	TX
Zip	:	75070-6510
Country	:	US
Telephone Number	:	972-369-6959
Fax Number	:

Provider Business Practice Location Address
First Line	:	346 OAKS TRL STE 215
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-4094
Country	:	US
Telephone Number	:	469-408-9660
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	DR. SHELIA ELAINE LUMAR
Credential	:	PH.D.
Telephone Number	:	972-369-6959

Provider Enumeration Date	:	05/25/2012
Last Update Date	:	07/22/2015

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