Illuminate Therapy LLC
NPI #1235808221 in Seymour, Connecticut
Provider Information
- NPI Number
- 1235808221
- Entity Type
- Organization
- Organization Name
- Illuminate Therapy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 13, 2021
- Last Updated
- Sep 13, 2021
Practice Location
- Address
- 2 KLARIDES VILLAGE DR # 272
- City
- Seymour
- State
- Connecticut
- ZIP Code
- 06483-2737
- Phone
- (203) 490-7943
Authorized Official
- Name
- MS. LAURA LEE DAVIS, LCSW
- Title
- CLINICIAN
- Phone
- (203) 490-7943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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