ILLUMINATION CUNSELING LLC NPI 1508434572

NPI Information

  • NPI: 1508434572
  • Provider Name: ILLUMINATION CUNSELING LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1462 CLINTON AVE
    IRVINGTON, NJ
    ZIP 07111
  • Phone: (732) 630-0080

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NPI Details

ILLUMINATION CUNSELING LLC is a mental health (including community mental health center) clinic center in Irvington, NJ. ILLUMINATION CUNSELING LLC NPI is 1508434572. The provider is registered as an organization entity type.

The provider's business location address is:

1462 CLINTON AVE
IRVINGTON, NJ
ZIP 07111-418
Phone: (732) 630-0080

The provider's authorized official is Tai-anne Linton .
The authorized official title is Therapist and has the following contact phone number (732) 630-0080.

The enumeration date for this NPI number is 6/15/2021 and was last updated on 6/15/2021.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 3/30/2025

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