| NPI | 1194367953 |
|---|---|
| Doing Business As | ILLUMINATE THERAPY |
| Entity Type | Organization |
| Authorized Contact | AMY THOMPSON Owner 517-974-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |