ILLUMINARE LLC NPI 1992288518

NPI Information

NPI: 1992288518
Provider Name: ILLUMINARE LLC

Doing Business As: ILLUMINARE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
601 GREENE DR
GREENVILLE, KY
ZIP 42345
Phone: (270) 377-7137
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ILLUMINARE LLC is a mental health counselor in Greenville, KY. ILLUMINARE LLC NPI is 1992288518. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Illuminare.

The provider's business location address is:

601 GREENE DR
GREENVILLE, KY
ZIP 42345-451
Phone: (270) 377-7137
Fax: (270) 641-0857

The provider's authorized official is Gretchen Davis .
The authorized official title is Ceo and has the following contact phone number (270) 377-7137.

The enumeration date for this NPI number is 9/10/2018 and was last updated on 9/9/2022.

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
1	1041C0700X	Social Worker	Clinical			No
2	101YM0800X	Counselor	Mental Health			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: 5/5/2024

NPI Synchronization or Removal

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