Healthcare Provider Details

I. General information

NPI: 1437942943
Provider Name (Legal Business Name): LUMINA MENTAL WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 EASTERN PROMENADE ST
HOLYOKE MA
01040-2906
US

IV. Provider business mailing address

74 EASTERN PROMENADE ST
HOLYOKE MA
01040-2906
US

V. Phone/Fax

Practice location:
  • Phone: 413-314-0113
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: DENNIES JONES-BROWN
Title or Position: OWNER
Credential:
Phone: 413-314-0113