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Illuminate Therapy Llc
Professional Counselor in Fenton, Michigan
NPI 1194367953

Illuminate Therapy Llc is a Professional Counselor based in Fenton, MI and is specialized in Professional. Illuminate Therapy Llc practices in Fenton, MI. The NPI Number for Illuminate Therapy Llc is 1194367953 and holds a License No. (Michigan).

The current practice location address for Illuminate Therapy Llc is 234 W Caroline St Ste 3, Fenton, MI and can be reached out via phone at 517-974-9353.

Location: 234 W Caroline St Ste 3, Fenton, MI, 48430-2807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194367953
Provider Name
Illuminate Therapy Llc
Credential
Provider Entity Type
Organization
Address
234 W Caroline St Ste 3, Fenton, MI, 48430-2807
Phone Number
517-974-9353
Fax Number
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306242623 05 MI
institution
Provider Business Practice Location Address Details
Address
234 W Caroline St Ste 3
City
Fenton
State
Michigan
Zip
48430-2807
Phone Number
517-974-9353
Fax Number
person
Provider Business Mailing Address Details
Address
234 W Caroline St Ste 3
City
Fenton
State
Michigan
Zip
48430-2807
Phone Number
517-974-9353
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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