| NPI | 1871178947 |
|---|---|
| Doing Business As | ILLUMINATE MENTAL HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | ANGELA KAY WORKMAN Lisw S 330-317-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |