Active NPIOrganization

Illuminate Life Wellness LLC

Clinic/Center, Adult Mental Health in West Warwick, Rhode Island

NPI Number1114512829
Practice location
126 Pawtuxet Ter, West Warwick, RI 02893-5212
Fax
—
Last updated
March 4, 2021

Illuminate Life Wellness LLC is a healthcare organization based in West Warwick, RI. Illuminate Life Wellness LLC practices in West Warwick, RI. The NPI Number for Illuminate Life Wellness LLC is 1114512829. The current practice location address for Illuminate Life Wellness LLC is 126 Pawtuxet Ter, West Warwick, RI 02893-5212 and can be reached out via phone at 401-542-9080.

Provider Profile Details

NPI Number
1114512829
Provider Name
Illuminate Life Wellness LLC
Provider Entity Type
Organization
Address
126 Pawtuxet Ter, West Warwick, RI 02893-5212
Phone Number
401-542-9080
Primary Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X
Organization Subpart
No
Authorized Official
Katherine Kinsella · Manager · 401-542-9080
Provider Enumeration Date
March 4, 2021
Last Update Date
March 4, 2021
Certification Date
March 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
126 Pawtuxet Ter
West Warwick, RI 02893-5212
Zip
02893-5212
Phone Number
401-542-9080
West Warwick, RI 02893Get directions →

Provider Business Mailing Address Details

Address
126 Pawtuxet Ter
West Warwick, RI 02893-5212
City
West Warwick
State
RI
Zip
02893-5212

License Information

Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Clinic/Center, Adult Mental Health providers near West Warwick, RI

View all Clinic/Center, Adult Mental Health providers in West Warwick →

Frequently Asked Questions

What is the NPI number of Illuminate Life Wellness LLC?

The NPI number of Illuminate Life Wellness LLC is 1114512829. It was assigned on March 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Illuminate Life Wellness LLC?

Illuminate Life Wellness LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).

Where does Illuminate Life Wellness LLC practice?

The practice location is 126 Pawtuxet Ter, West Warwick, RI 02893-5212. The office can be reached at 401-542-9080 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114512829 directly on the NPPES registry website.

Browse related providers