Organization · Type 2 NPI
Illumination Psychotherapy, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Ann Arbor, MI
NPI number
1245093590
Active
Practice location
450 S Maple Rd Ste 858
Ann Arbor, MI 48103-3835
Mailing address
1715 Abbott Ave
Ann Arbor, MI 48103-4107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1245093590
Illumination Psychotherapy, PLLC's National Provider Identifier is 1245093590, issued on Jan 31, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Ann Arbor, MI. The record was last updated on Feb 15, 2024.