Organization
LUMINOUS PSYCHIATRY AND THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE NICOLE FRAZIER APRN, PMHNP-BC (OWNER)
(912) 484-6459
Entity
Organization
Contact information
Practice address
7805 WATERS AVE # 7A-4, SAVANNAH, GA 31406-2441
(888) 462-1601
Mailing address
7805 WATERS AVE # 7A-4, SAVANNAH, GA 31406-2441
(888) 462-1601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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