Active NPI
Luminous Psychiatry and Therapeutic Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Savannah, GA
National Provider Identifier
1003594698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LUMINOUS PSYCHIATRY AND THERAPEUTIC SERVICES LLC
- Practice address
- 7805 Waters Ave # 7a-4
Savannah, GA 31406-2441 - Phone
- (888) 462-1601
- NPI assigned
- Jul 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeannine Nicole Frazier, APRN, PMHNP-BC
- Title
- Owner
- Phone
- (912) 484-6459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
7805 Waters Ave # 7a-4
Savannah, GA 31406-2441
Mailing address
7805 Waters Ave # 7a-4
Savannah, GA 31406-2441
Phone (888) 462-1601
National Provider Directory
National Provider DirectoryLocations
7805 Waters Ave
#7A4
Savannah, GA 31406
Phone (888) 462-1601
7805 Waters Ave
Ste 7A4
Savannah, GA 31406
Phone (888) 462-1601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688515200000",
"number": "1003594698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7805 WATERS AVE # 7A-4",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062441",
"telephone_number": "888-462-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7805 WATERS AVE # 7A-4",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062441",
"telephone_number": "888-462-1601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMINOUS PSYCHIATRY AND THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A",
"authorized_official_last_name": "FRAZIER",
"authorized_official_first_name": "JEANNINE",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-484-6459",
"authorized_official_credential": "APRN, PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.