Organization · Type 2 NPI

Illuminate Therapy LLC

Professional Counselor · Fenton, MI

NPI number 1194367953 Active

Practice location

234 W Caroline St Ste 3
Fenton, MI 48430-2807

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1194367953

Illuminate Therapy LLC's National Provider Identifier is 1194367953, issued on Oct 14, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fenton, MI. The record was last updated on Nov 6, 2025.