# LUMOS PSYCHIATRIC SERVICES LLC

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

## Provider details

- **NPI number:** 1548141385
- **Authorized official:** JOSH VINEYARD (CEO)
- **Authorized official phone:** (801) 915-6007

## Contact information

- **Practice address:** 14241 S REDWOOD RD STE 200, BLUFFDALE, UT 84065-5216
- **Practice address phone:** (385) 342-2808
- **Mailing address:** PO BOX 1270, RIVERTON, UT 84065-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2025
- **Last updated:** 09/09/2025
