Active NPIOrganization

Illumination Psychotherapy Services, LLC.

Community/Behavioral Health in Lakeville, Massachusetts

NPI Number1609376987
Practice location
4 Wyndham RD, Lakeville, MA 02347-2264
Fax
—
Last updated
May 6, 2026

Illumination Psychotherapy Services, LLC. is a healthcare organization based in Lakeville, MA. Illumination Psychotherapy Services, LLC. practices in Lakeville, MA. The NPI Number for Illumination Psychotherapy Services, LLC. is 1609376987. The current practice location address for Illumination Psychotherapy Services, LLC. is 4 Wyndham RD, Lakeville, MA 02347-2264 and can be reached out via phone at 508-728-1149.

Provider Profile Details

NPI Number
1609376987
Provider Name
Illumination Psychotherapy Services, LLC.
Provider Entity Type
Organization
Address
4 Wyndham RD, Lakeville, MA 02347-2264
Phone Number
508-728-1149
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Kathryn Fernandes · Owner · 508-728-1149
Provider Enumeration Date
February 13, 2018
Last Update Date
May 6, 2026
Certification Date
May 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Wyndham RD
Lakeville, MA 02347-2264
Zip
02347-2264
Phone Number
508-728-1149
Lakeville, MA 02347Get directions →

Provider Business Mailing Address Details

Address
Po Box 915
Lakeville, MA 02347-0915
City
Lakeville
State
MA
Zip
02347-0915

License Information

Taxonomy
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Illumination Psychotherapy Services, LLC.?

The NPI number of Illumination Psychotherapy Services, LLC. is 1609376987. It was assigned on February 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Illumination Psychotherapy Services, LLC.?

Illumination Psychotherapy Services, LLC. is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Illumination Psychotherapy Services, LLC. practice?

The practice location is 4 Wyndham RD, Lakeville, MA 02347-2264. The office can be reached at 508-728-1149 (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 1609376987 directly on the NPPES registry website.

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