Illume Psychotherapy Llc

LBN: Illume Psychotherapy Llc
Illume Psychotherapy Llc is an health care organization with primary practice located at 440 Franklin St Ste 200 , Bloomfield NJ 07003-4379. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Illume Psychotherapy Llc can be contacted via phone (973) 206-0282, or through Thiel, Stacia via phone (973) 206-0282.

Contact Information

Primary practice address
440 Franklin St Ste 200 Bloomfield NJ 07003-4379
Phone: (973) 206-0282
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thiel, Stacia Licensed Clinical Social Worker (LCSW)
Phone: (973) 206-0282

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1285219576
LBN Legal business name Illume Psychotherapy Llc
DBA Doing business as
Authorized official Thiel, Stacia Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2021
Last updated Mar 17th, 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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