| Illuminate Counseling & Wellness Llc | |
|
42 State Rd Ste A Newaygo MI 49337-7989 | |
| (231) 942-4673 | |
| Not Available |
| Full Name | Illuminate Counseling & Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 42 State Rd Ste A, Newaygo, Michigan |
| Authorized Official Name and Position | Jennifer Braman (SOCIAL WORKER) |
| Authorized Official Contact | 2319424673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminate Counseling & Wellness Llc 42 State Rd Ste A Newaygo MI 49337-7989 Ph: (231) 942-4673 | Illuminate Counseling & Wellness Llc 42 State Rd Ste A Newaygo MI 49337-7989 Ph: (231) 942-4673 |
| NPI Number | 1306376439 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 06/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306376439 | NPI | - | NPPES |
| 1669801684 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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