Healthcare Provider Details

I. General information

NPI: 1285572990
Provider Name (Legal Business Name): LUMINA BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 MERRIMACK ST STE 275
LAWRENCE MA
01843-1755
US

IV. Provider business mailing address

11 LEWIS ST
WORCESTER MA
01610-1779
US

V. Phone/Fax

Practice location:
  • Phone: 508-250-5908
  • Fax:
Mailing address:
  • Phone: 508-250-5908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE NGANGA
Title or Position: PROVIDER
Credential: PMHNP
Phone: 508-250-5908