Illuminations, Inc. | |
515 Grand Ave Ste 104 Ames IA 50010-6061 | |
(515) 232-7157 | |
(515) 232-7116 |
Full Name | Illuminations, Inc. |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 515 Grand Ave Ste 104, Ames, Iowa |
Authorized Official Name and Position | Deborah Carnine (OWNER) |
Authorized Official Contact | 5152327157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Illuminations, Inc. 515 Grand Ave Ste 104 Ames IA 50010-6061 Ph: (515) 232-7157 | Illuminations, Inc. 515 Grand Ave Ste 104 Ames IA 50010-6061 Ph: (515) 232-7157 |
NPI Number | 1871847202 |
---|---|
Provider Enumeration Date | 11/07/2012 |
Last Update Date | 10/28/2020 |
Certification Date | 10/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871847202 | NPI | - | NPPES |
0198184 | Medicaid | IA | |
1780669556 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 01108 (Iowa) | Primary |
News Archive
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