| Illuminating Hope Llc | |
|
13935 Point Lookout Rd Ridge MD 20680-3220 | |
| (919) 648-6503 | |
| Not Available |
| Full Name | Illuminating Hope Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13935 Point Lookout Rd, Ridge, Maryland |
| Authorized Official Name and Position | Aaron M Burchett (OWNER / THERAPIST) |
| Authorized Official Contact | 9196486503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Hope Llc 13935 Point Lookout Rd Ridge MD 20680-3220 Ph: (919) 648-6503 | Illuminating Hope Llc 13935 Point Lookout Rd Ridge MD 20680-3220 Ph: (919) 648-6503 |
| NPI Number | 1497524508 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497524508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |