Provider Demographics
NPI:1063208221
Name:LUMA VIA MENTAL HEALTH LLC
Entity type:Organization
Organization Name:LUMA VIA MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RUPA
Authorized Official - Middle Name:RADHA
Authorized Official - Last Name:NATARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:608-852-2734
Mailing Address - Street 1:4302 HONEYPIE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53718-4426
Mailing Address - Country:US
Mailing Address - Phone:608-852-2734
Mailing Address - Fax:
Practice Address - Street 1:4302 HONEYPIE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-4426
Practice Address - Country:US
Practice Address - Phone:608-852-2734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty