| Lura Munns, Lcsw Llc | |
|
6 Shenandoah Ln Southampton NJ 08088-9774 | |
| (609) 388-1050 | |
| Not Available |
| Full Name | Lura Munns, Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6 Shenandoah Ln, Southampton, New Jersey |
| Authorized Official Name and Position | Lura Munns (OWNER) |
| Authorized Official Contact | 6093881050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lura Munns, Lcsw Llc 6 Shenandoah Ln Southampton NJ 08088-9774 Ph: (609) 388-1050 | Lura Munns, Lcsw Llc 6 Shenandoah Ln Southampton NJ 08088-9774 Ph: (609) 388-1050 |
| NPI Number | 1487302733 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/15/2022 |
| Medicare PECOS PAC ID | 6406237684 |
|---|---|
| Medicare Enrollment ID | O20220719002928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487302733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lura Munns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770609489 PECOS PAC ID: 5991093437 Enrollment ID: I20161015000192 |
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