# LUMINOSITY MENTAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265299762
- **Authorized official:** MRS. DONNA KATHLEEN VAHOVIUS PMHNP-BC (OWNER)
- **Authorized official phone:** (334) 546-2973

## Contact information

- **Practice address:** 2961 ELKTON TRAIL, TYLER, TX 75703-0308
- **Practice address phone:** (903) 581-6885
- **Practice address fax:** (903) 581-1081
- **Mailing address:** 6630 ASHMORE LN, TYLER, TX 75703-0308
- **Mailing address phone:** (903) 581-6885
- **Mailing address fax:** (903) 581-1081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2024
- **Last updated:** 03/01/2024