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ILLUME WELLNESS GROUP 1942978572

Overview
Name: ILLUME WELLNESS GROUP Specialty: Mental Health Counselor Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers Classification: Counselor Specialization: Mental Health. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: ILLUME WELLNESS GROUP,1904 E CHICAGO RD,STURGIS,MI,490918522,US Mailing Address: ILLUME WELLNESS GROUP,971 S CENTERVILLE RD # 145,STURGIS,MI,490912502,US
Contact #
Practice location phone #: 2695031804 Practice location fax #: Mailing address Phone #: 2695031804 Mailing Address fax #: Authorized official Name/Telephone #:MRS., NICOLE, R, MERCHANT, MA LPC, OWNER/PARTNER 2695031804
Misc
Date NPI was obtained: 08/30/2021 Last data data was updated: 09/26/2021 Insurances:
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