Illuminate Life Wellness Llc | |
126 Pawtuxet Ter West Warwick RI 02893-5212 | |
(401) 542-9080 | |
Not Available |
Full Name | Illuminate Life Wellness Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 126 Pawtuxet Ter, West Warwick, Rhode Island |
Authorized Official Name and Position | Katherine Kinsella (MANAGER) |
Authorized Official Contact | 4015429080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Illuminate Life Wellness Llc 126 Pawtuxet Ter West Warwick RI 02893-5212 Ph: () - | Illuminate Life Wellness Llc 126 Pawtuxet Ter West Warwick RI 02893-5212 Ph: (401) 542-9080 |
NPI Number | 1114512829 |
---|---|
Provider Enumeration Date | 03/04/2021 |
Last Update Date | 03/04/2021 |
Certification Date | 03/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114512829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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