=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346187606
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LUMA MENTAL HEALTH AND WELLNESS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2026
-----------------------------------------------------
Last Update Date | 05/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 PEARL PARK WAY STE 500-3120
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28204-0076
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-787-9093
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 443 BURR ST
-----------------------------------------------------
City | INDIAN TRAIL
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28079-0709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-787-9093
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CNP
-----------------------------------------------------
Name | JAIME ALLISON SNYDER
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 614-787-9093
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------