Luminosity Mental Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LUMINOSITY MENTAL HEALTH PLLC

Practice address

2961 Elkton Trail
Tyler, TX 75703-0308

Phone

(903) 581-6885

Fax

(903) 581-1081

NPI assigned

Mar 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Donna Kathleen Vahovius, PMHNP-BC

Title

Owner

Phone

(334) 546-2973

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1265299762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 ASHMORE LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030308",
            "telephone_number": "903-581-6885",
            "fax_number": "903-581-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 ELKTON TRAIL",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030308",
            "telephone_number": "903-581-6885",
            "fax_number": "903-581-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOSITY MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "VAHOVIUS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-546-2973",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Lueken, MD
• Nancy Luethy, PA-C
• Valerie Lizet Luevanos
• Andrew J Luisi Jr., MD
• Casey Lukacs
• David C Lundy, MD
• Richard Lunsford
• Holly Beth Lutmer
• Kevin Luttrell, M.D.
• Memory Denise Luttrell

• Psychiatric/Mental Health Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.