# LUMINOSITY LLC

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

## Provider details

- **NPI number:** 1689452641
- **Authorized official:** DANIELA GARCIA-CRUZ (PA)
- **Authorized official phone:** (717) 609-6596

## Contact information

- **Practice address:** 503 E 9TH ST, JEFFERSONVILLE, IN 47130-4018
- **Practice address phone:** (717) 609-6596
- **Mailing address:** 503 E 9TH ST, JEFFERSONVILLE, IN 47130-4018
- **Mailing address phone:** (717) 609-6596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 09/20/2023
- **Last updated:** 07/22/2024