Organization · Type 2 NPI

Illuminate Mental Health PA

Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, FL

NPI number 1720840846 Active

Practice location

12627 San Jose Blvd Ste 301
Jacksonville, FL 32223-8639

Mailing address

681 Box Branch Cir
St. Johns, FL 32259-4379

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

5 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Jacksonville

See all in Jacksonville →

About NPI 1720840846

Illuminate Mental Health PA's National Provider Identifier is 1720840846, issued on Jan 24, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 24, 2024.