Luster, Shae Nicole

Luster, Shae Nicole is an sole proprietor health care provider with primary practice located at 415 N Richard Jackson Blvd Ste 204 , Panama City Beach FL 32407. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Luster, Shae Nicole can be contacted via phone (850) 628-1956.

Contact Information

Primary practice address
415 N Richard Jackson Blvd Ste 204 Panama City Beach FL 32407
Phone: (850) 628-1956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH13989 Florida

Profile Details

NPI number 1225497365
LBN Legal business name Luster, Shae Nicole
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2016
Last updated May 24th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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