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Illumii
Clinic/Center in Winston Salem, North Carolina
NPI 1548885726

Illumii is a Clinic/Center based in Winston Salem, NC. Illumii practices in Winston Salem, NC. The NPI Number for Illumii is 1548885726 and holds a License No. (North Carolina).

The current practice location address for Illumii is 121 Reynolda Vlg Ste A, Winston Salem, NC and can be reached out via phone at 336-893-9018 and via fax at 833-748-0121.

Location: 121 Reynolda Vlg Ste A, Winston Salem, NC, 27106-5126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548885726
Provider Name
Illumii
Credential
Provider Entity Type
Organization
Address
121 Reynolda Vlg Ste A, Winston Salem, NC, 27106-5126
Phone Number
336-893-9018
Fax Number
833-748-0121
Provider Enumeration Date
06/12/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
121 Reynolda Vlg Ste A
City
Winston Salem
State
North Carolina
Zip
27106-5126
Phone Number
336-893-9018
Fax Number
833-748-0121
person
Provider Business Mailing Address Details
Address
121 Reynolda Vlg Ste A
City
Winston Salem
State
North Carolina
Zip
27106-5126
Phone Number
336-893-9018
Fax Number
833-748-0121
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
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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