| Illumination Counseling Services, Llc | |
|
5 Great Valley Pkwy Ste 210 Malvern PA 19355-1426 | |
| (484) 402-4727 | |
| Not Available |
| Full Name | Illumination Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5 Great Valley Pkwy Ste 210, Malvern, Pennsylvania |
| Authorized Official Name and Position | Nicole Gross (PRESIDENT) |
| Authorized Official Contact | 4844024727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illumination Counseling Services, Llc 5 Great Valley Pkwy Ste 210 Malvern PA 19355-1426 Ph: (484) 402-4727 | Illumination Counseling Services, Llc 5 Great Valley Pkwy Ste 210 Malvern PA 19355-1426 Ph: (484) 402-4727 |
| NPI Number | 1013566454 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013566454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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