Organization Active NPI

Luminous Psychiatry and Therapeutic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Savannah, GA
National Provider Identifier
1003594698
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jul 5, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.