Illuminare LLC
NPI #1992288518 in Greenville, Kentucky
Provider Information
- NPI Number
- 1992288518
- Entity Type
- Organization
- Organization Name
- Illuminare LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 10, 2018
- Last Updated
- Sep 9, 2022
Practice Location
- Address
- 601 GREENE DR
- City
- Greenville
- State
- Kentucky
- ZIP Code
- 42345-1451
- Phone
- (270) 377-7137
Authorized Official
- Name
- GRETCHEN DAVIS
- Title
- CEO
- Phone
- (270) 377-7137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Mental Health — Mental Health |
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