Illumination Psychotherapy Services, Llc.
NPI #1609376987 in Lakeville, Massachusetts
Provider Information
- NPI Number
- 1609376987
- Entity Type
- Organization
- Organization Name
- Illumination Psychotherapy Services, Llc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 13, 2018
- Last Updated
- Jan 31, 2025
Practice Location
- Address
- 4 WYNDHAM RD
- City
- Lakeville
- State
- Massachusetts
- ZIP Code
- 02347-2264
- Phone
- (508) 317-4927
Authorized Official
- Name
- KATHRYN FERNANDES, LMHC
- Title
- OWNER
- Phone
- (508) 317-4927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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