| Illumine Collaborative, Llc | |
|
2335 Peak Rd Lyndonville VT 05851-9546 | |
| (203) 233-5497 | |
| Not Available |
| Full Name | Illumine Collaborative, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2335 Peak Rd, Lyndonville, Vermont |
| Authorized Official Name and Position | Tenisa Turnbaugh (OWNER/DIRECTOR) |
| Authorized Official Contact | 2032335497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illumine Collaborative, Llc 34 Deer Hill Rd Southbury CT 06488-1124 Ph: (203) 233-5497 | Illumine Collaborative, Llc 2335 Peak Rd Lyndonville VT 05851-9546 Ph: (203) 233-5497 |
| NPI Number | 1972261857 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972261857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Kristi Zola, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Tulip Street, Lyndonville, VT 05851 Phone: 802-274-1981 | |
Tim Hash, Msw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Tulip Street, Lyndonville, VT 05851 Phone: 802-473-6753 | |
Melanie Willis Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Mcgoff Hl, Lyndonville, VT 05851 Phone: 802-673-4575 |