| Illumination Cunseling Llc | |
|
1462 Clinton Ave Irvington NJ 07111-1418 | |
| (732) 630-0080 | |
| Not Available |
| Full Name | Illumination Cunseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1462 Clinton Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Tai-anne Linton (THERAPIST) |
| Authorized Official Contact | 7326300080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illumination Cunseling Llc 1462 Clinton Ave Irvington NJ 07111-1418 Ph: () - | Illumination Cunseling Llc 1462 Clinton Ave Irvington NJ 07111-1418 Ph: (732) 630-0080 |
| NPI Number | 1508434572 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508434572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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