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Illuminate Life Wellness Llc
Adult Mental Health Clinic/Center in West Warwick, Rhode Island
NPI 1114512829

Illuminate Life Wellness Llc is an Adult Mental Health Clinic/Center based in West Warwick, RI and is specialized in Adult Mental Health. Illuminate Life Wellness Llc practices in West Warwick, RI. The NPI Number for Illuminate Life Wellness Llc is 1114512829 and holds a License No. (Rhode Island).

The current practice location address for Illuminate Life Wellness Llc is 126 Pawtuxet Ter, West Warwick, RI and can be reached out via phone at 401-542-9080. You can also correspond with Illuminate Life Wellness Llc through the mailing address at 126 PAWTUXET TER, WEST WARWICK, RI - 02893-5212 (mailing address contact number: ).

Location: 126 Pawtuxet Ter, West Warwick, RI, 02893-5212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114512829
Provider Name
Illuminate Life Wellness Llc
Credential
Provider Entity Type
Organization
Address
126 Pawtuxet Ter, West Warwick, RI, 02893-5212
Phone Number
401-542-9080
Fax Number
Provider Enumeration Date
03/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 Pawtuxet Ter
City
West Warwick
State
Rhode Island
Zip
02893-5212
Phone Number
401-542-9080
Fax Number
person
Provider Business Mailing Address Details
Address
126 Pawtuxet Ter
City
West Warwick
State
Rhode Island
Zip
02893-5212
Phone Number
401-542-9080
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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