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Illume Counseling & Play Therapy
Adolescent and Children Mental Health Clinic/Center in Destin, Florida
NPI 1508472648

Illume Counseling & Play Therapy is an Adolescent and Children Mental Health Clinic/Center based in Destin, FL and is specialized in Adolescent and Children Mental Health. Illume Counseling & Play Therapy practices in Destin, FL. The NPI Number for Illume Counseling & Play Therapy is 1508472648 and holds a License No. (Florida).

The current practice location address for Illume Counseling & Play Therapy is 35008 Emerald Coast Pkwy Ste 203, Destin, FL and can be reached out via phone at 251-209-0680.

Location: 35008 Emerald Coast Pkwy Ste 203, Destin, FL, 32541-2232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508472648
Provider Name
Illume Counseling & Play Therapy
Credential
Provider Entity Type
Organization
Address
35008 Emerald Coast Pkwy Ste 203, Destin, FL, 32541-2232
Phone Number
251-209-0680
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
35008 Emerald Coast Pkwy Ste 203
City
Destin
State
Florida
Zip
32541-4752
Phone Number
251-209-0680
Fax Number
person
Provider Business Mailing Address Details
Address
35008 Emerald Coast Pkwy Ste 203
City
Destin
State
Florida
Zip
32541-4752
Phone Number
251-209-0680
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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