| Illume Counseling & Play Therapy | |
|
35008 Emerald Coast Pkwy Ste 203 Destin FL 32541-4752 | |
| (251) 209-0680 | |
| Not Available |
| Full Name | Illume Counseling & Play Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 35008 Emerald Coast Pkwy Ste 203, Destin, Florida |
| Authorized Official Name and Position | Kelsey Laine Backes (PRESIDENT) |
| Authorized Official Contact | 2512090216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illume Counseling & Play Therapy 416 Primrose Cir Destin FL 32541-2232 Ph: (251) 209-0680 | Illume Counseling & Play Therapy 35008 Emerald Coast Pkwy Ste 203 Destin FL 32541-4752 Ph: (251) 209-0680 |
| NPI Number | 1508472648 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508472648 | NPI | - | NPPES |
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