| Illuminated Self Therapy Services LLC | |
|
1329 E Kemper Rd Ste 4212b Springdale OH 45246-5100 | |
| (513) 580-4435 | |
| (513) 832-0499 |
| Full Name | Illuminated Self Therapy Services LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1329 E Kemper Rd Ste 4212b, Springdale, Ohio |
| Authorized Official Name and Position | Niki Lenae Kenley (OWNER) |
| Authorized Official Contact | 5135804435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminated Self Therapy Services LLC 1329 E Kemper Rd Ste 4212b Springdale OH 45246-5100 Ph: (513) 580-4435 | Illuminated Self Therapy Services LLC 1329 E Kemper Rd Ste 4212b Springdale OH 45246-5100 Ph: (513) 580-4435 |
| NPI Number | 1669327938 |
|---|---|
| Provider Enumeration Date | 03/03/2026 |
| Last Update Date | 04/20/2026 |
| Certification Date | 04/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669327938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
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