institution
Illuminate Mental Health Pa
Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, Florida
NPI 1720840846

Illuminate Mental Health Pa is a Mental Health Clinic/Center (Including Community Mental Health Center) based in St Johns, FL and is specialized in Mental Health (Including Community Mental Health Center). Illuminate Mental Health Pa practices in Jacksonville, FL. The NPI Number for Illuminate Mental Health Pa is 1720840846 and holds a License No. (Florida).

The current practice location address for Illuminate Mental Health Pa is 12627 San Jose Blvd Ste 301, Jacksonville, FL and can be reached out via phone at 540-222-3495.

Location: 12627 San Jose Blvd Ste 301, Jacksonville, FL, 32259-4379
institution
Provider Profile Details
NPI Number
1720840846
Provider Name
Illuminate Mental Health Pa
Credential
Provider Entity Type
Organization
Address
12627 San Jose Blvd Ste 301, Jacksonville, FL, 32259-4379
Phone Number
540-222-3495
Fax Number
Provider Enumeration Date
01/24/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12627 San Jose Blvd Ste 301
City
State
Zip
32223-8639
Phone Number
540-222-3495
Fax Number
person
Provider Business Mailing Address Details
Address
12627 San Jose Blvd Ste 301
City
State
Zip
32223-8639
Phone Number
540-222-3495
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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