ILLUMINATION COUNSELING SERVICES LLC NPI 1013566454

NPI Information

  • NPI: 1013566454
  • Provider Name: ILLUMINATION COUNSELING SERVICES, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 5 GREAT VALLEY PKWY STE 210
    MALVERN, PA
    ZIP 19355
  • Phone: (484) 402-4727

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NPI Details

ILLUMINATION COUNSELING SERVICES, LLC is a professional counselor in Malvern, PA. ILLUMINATION COUNSELING SERVICES, LLC NPI is 1013566454. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 GREAT VALLEY PKWY STE 210
MALVERN, PA
ZIP 19355-426
Phone: (484) 402-4727

The provider's authorized official is Nicole Gross .
The authorized official title is President and has the following contact phone number (484) 402-4727.

The enumeration date for this NPI number is 9/9/2019 and was last updated on 9/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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