Organization · Type 2 NPI
Illuminate Life Wellness LLC
Adult Mental Health Clinic/Center · West Warwick, RI
NPI number
1114512829
Active
Practice location
126 Pawtuxet Ter
West Warwick, RI 02893-5212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1114512829
Illuminate Life Wellness LLC's National Provider Identifier is 1114512829, issued on Mar 4, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in West Warwick, RI. The record was last updated on Mar 4, 2021.