| Illuminated Guidance Center Llc | |
|
835 Mason St Ste B295-a Dearborn MI 48124-2231 | |
| (734) 265-0890 | |
| (734) 895-3957 |
| Full Name | Illuminated Guidance Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 835 Mason St Ste B295-a, Dearborn, Michigan |
| Authorized Official Name and Position | Ebony Willis (OWNER) |
| Authorized Official Contact | 7342650890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminated Guidance Center Llc 835 Mason St Ste B295-a Dearborn MI 48124-2231 Ph: (734) 265-0890 | Illuminated Guidance Center Llc 835 Mason St Ste B295-a Dearborn MI 48124-2231 Ph: (734) 265-0890 |
| NPI Number | 1811862451 |
|---|---|
| Provider Enumeration Date | 10/06/2025 |
| Last Update Date | 10/06/2025 |
| Certification Date | 10/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811862451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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