Illume Counseling & Play Therapy
NPI #1508472648 in Destin, Florida
Provider Information
- NPI Number
- 1508472648
- Entity Type
- Organization
- Organization Name
- Illume Counseling & Play Therapy
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 22, 2020
- Last Updated
- Dec 7, 2020
Practice Location
Authorized Official
- Name
- MRS. KELSEY LAINE BACKES
- Title
- PRESIDENT
- Phone
- (251) 209-0216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Counselor - Mental Health — Mental Health |
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