SHAE NICOLE LUSTER (NPI# 1225497365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225497365 |
| Entity Type | Individual |
| Full Name | SHAE NICOLE LUSTER |
| Credential | LMHC |
| Practice Address |
415 N Richard Jackson Blvd Ste 204 Panama City Beach FL 32407 |
| Mailing Address |
415 N Richard Jackson Blvd Ste 204 Panama City Beach FL 32407-3694 |
| Practice Telephone | 8506281956 |
| Mailing Telephone | 8506281956 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH13989 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21903 Panama City Beach Pkwy, Panama City Beach, FL 324133219 | 8506281956 |
| Street Address |
415 N RICHARD JACKSON BLVD STE 204 |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip Code | 32407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972082121 | Soulistic Counseling Corner, LLC | Counselor | 415 N Richard Jackson Blvd Ste 204, Panama City Beach, FL 32407-3694 | 2018-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637497 | Beach Midway Med Express | Internal Medicine | 11038 Hutchison Blvd, Panama City, FL 32407 | 2018-01-23 |
| 1447675988 | Nicoleta M Tatum | Nurse Practitioner | 140 N Richard Jackson Blvd, Panama City Beach, FL 32407 | 2014-02-20 |
| 1528482361 | Best Care Home Health of Panama City LLC | Home Health | 12216 Panama City Parkway Unit B, Panama City Beach, FL 32407 | 2014-02-14 |
| 1134463482 | Panhandle Orthopaedics LLC | Pediatrics | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 | 2012-11-26 |
| 1215296983 | Jennifer Lynn Holloran | Speech-Language Pathologist | 8317 Front Beach Road Suite 34c, Panama City Beach, FL 32407 | 2012-05-15 |
| 1295043248 | Candida Jill Pratt | Massage Therapist | 10200 Clarence St., Suite B, Panama City Beach, FL 32407 | 2010-09-23 |
| 1326275843 | Richard Lee Giffin | Registered Nurse | 1625 Vecuna Cir, Panama City Beach, FL 32407 | 2009-06-11 |
| 1649455726 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11801 Panama City Beach Pkwy., Panama City Beach, FL 32407 | 2008-01-08 |
| 1891915740 | Cambridge Carruth | Physical Therapist | 120 R Jackson Bvld., Ste. 130, Panama City Beach, FL 32407 | 2007-04-25 |
| 1497885180 | Guy Alvin Crawford | Physician Assistant | 11111 Highway 98 East, Panama City Beach, FL 32407 | 2007-03-06 |
| Find all providers in zip 32407 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205321676 | Amanda Nicole Hickey | Counselor | 310 Coral Gables St, Panama City Beach, FL 32407-3277 | 2018-06-27 |
| 1912400805 | Jennifer Lynn Marshall | Counselor | 400 Thomas Dr., 7108, Panama City Beach, FL 32408 | 2018-03-16 |
| 1457851560 | Tregon Fitch | Counselor | 2522 Pelican Bay Dr, Panama City Beach, FL 32408-7046 | 2018-02-15 |
| 1326555715 | Nancy Rawson | Counselor | 204 Carolyn Ave, Panama City Beach, FL 32407-5607 | 2018-01-07 |
| 1154785228 | Erin Lynn Keip-strausbaugh | Counselor | 8317 Front Beach Rd Ste 29b, Panama City Beach, FL 32407-4893 | 2016-04-05 |
| 1649641705 | Linda Sue Jowers | Counselor | 1101 Prospect Promenade, Unit 402, Panama City Beach, FL 32413-1476 | 2015-10-15 |
| 1891042412 | Faith Elizabeth Davis | Counselor | 2526 Bruce Ave, Panama City Beach, FL 32408-6208 | 2012-08-14 |
| 1538472485 | Psychological Fitness Associates, LLC | Counselor | 21903 Panama City Beach Pkwy, Panama City Beach, FL 32413-3219 | 2010-07-21 |
| 1063647618 | Leticia Freeland Grove | Counselor | 16500 Panama City Beach Pkwy, Suite A, Panama City Beach, FL 32413-2251 | 2009-05-27 |
| 1063633444 | Joel Glenn Prather | Counselor | 12133 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2007-05-01 |
| Find all providers in PANAMA CITY BEACH | ||||
| City | PANAMA CITY BEACH |
| Zip Code | 32407 |
Please comment or provide details below to improve the information on SHAE NICOLE LUSTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.