Luwanna Airheart, M.S. LMFT

Individual provider Active NPI Mental Health Counselor · Roseville, CA

NPI 1881006567 · NPPES record last updated May 29, 2014

Key facts

NPI
1881006567
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MFC48410 (CA)
Practice address
1504 Pine Valley Cir
Roseville, CA 95661-5733
Phone
(916) 792-7492
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC48410CAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC48410 CA Yes

Addresses

Primary practice location

1504 Pine Valley Cir
Roseville, CA 95661-5733

Mailing address

1504 Pine Valley Cir
Roseville, CA 95661-5733
Phone (916) 792-7492

Other providers in Roseville, CA

All providers in Roseville, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.