Illume Psychology Incorporated

LBN: Illume Psychology Incorporated
Illume Psychology Incorporated is an health care organization with primary practice located at 245 Kentucky Street Suite A, Petaluma CA 94952. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Illume Psychology Incorporated can be contacted via phone (707) 216-1612, or through Laska-Ruebusch, Larissa via phone (707) 216-1612.

Contact Information

Primary practice address
245 Kentucky Street Suite A Petaluma CA 94952
Phone: (707) 216-1612
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Laska-Ruebusch, Larissa PSY.D
Phone: (707) 216-1612

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1952070252
LBN Legal business name Illume Psychology Incorporated
DBA Doing business as
Authorized official Laska-Ruebusch, Larissa PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2021
Last updated Sep 9th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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