| Illuminate Therapy Center | |
|
839 Majestic Ct Ste 6 Gastonia NC 28054-5152 | |
| (704) 386-6747 | |
| (704) 997-1711 |
| Full Name | Illuminate Therapy Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 839 Majestic Ct Ste 6, Gastonia, North Carolina |
| Authorized Official Name and Position | Emily Lundy (OWNER) |
| Authorized Official Contact | 5672429371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminate Therapy Center 839 Majestic Ct Ste 6 Gastonia NC 28054-5152 Ph: (704) 386-6747 | Illuminate Therapy Center 839 Majestic Ct Ste 6 Gastonia NC 28054-5152 Ph: (704) 386-6747 |
| NPI Number | 1730861139 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730861139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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