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ILLUMINATE COUNSELING & WELLNESS LLC NPI 1306376439


NPI Information

NPI: 1306376439
Provider Name: ILLUMINATE COUNSELING & WELLNESS LLC
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
42 STATE RD STE A
NEWAYGO, MI
ZIP 49337
Phone: (231) 942-4673
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ILLUMINATE COUNSELING & WELLNESS LLC is a social worker in Newaygo, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. ILLUMINATE COUNSELING & WELLNESS LLC NPI is 1306376439. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

42 STATE RD STE A
NEWAYGO, MI
ZIP 49337-989
Phone: (231) 942-4673

The provider's authorized official is Jennifer Braman .
The authorized official title is Social Worker and has the following contact phone number (231) 942-4673.

The enumeration date for this NPI number is 6/12/2017 and was last updated on 6/12/2017.


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
1104100000XSocial WorkerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11669801684MEDICAIDMICHIGAN

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: 5/5/2024

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