Illuminate Therapy LLC
Social Worker, Clinical in Seymour, Connecticut
1235808221- Practice location
- 2 Klarides Village Dr # 272, Seymour, CT 06483-2737
- Phone
- 203-490-7943
- Fax
- —
- Last updated
- September 13, 2021
Illuminate Therapy LLC is a healthcare organization based in Seymour, CT. Illuminate Therapy LLC practices in Seymour, CT. The NPI Number for Illuminate Therapy LLC is 1235808221. The current practice location address for Illuminate Therapy LLC is 2 Klarides Village Dr # 272, Seymour, CT 06483-2737 and can be reached out via phone at 203-490-7943.
Provider Profile Details
- NPI Number
- 1235808221
- Provider Name
- Illuminate Therapy LLC
- Provider Entity Type
- Organization
- Address
- 2 Klarides Village Dr # 272, Seymour, CT 06483-2737
- Phone Number
- 203-490-7943
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Ms. Laura Lee Davis, LCSW · Clinician · 203-490-7943
- Provider Enumeration Date
- September 13, 2021
- Last Update Date
- September 13, 2021
- Certification Date
- August 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Klarides Village Dr # 272
Seymour, CT 06483-2737 - City
- Seymour
- State
- Connecticut
- Zip
- 06483-2737
- Phone Number
- 203-490-7943
Provider Business Mailing Address Details
- Address
- 2 Klarides Village Dr # 272
Seymour, CT 06483-2737 - City
- Seymour
- State
- CT
- Zip
- 06483-2737
- Phone Number
- 203-490-7943
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Illuminate Therapy LLC?
The NPI number of Illuminate Therapy LLC is 1235808221. It was assigned on September 13, 2021 and is currently active in the NPPES registry.
What is the specialty of Illuminate Therapy LLC?
Illuminate Therapy LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Illuminate Therapy LLC practice?
The practice location is 2 Klarides Village Dr # 272, Seymour, CT 06483-2737. The office can be reached at 203-490-7943 (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 1235808221 directly on the NPPES registry website.