Illumination, Llc

LBN: Illumination, Llc
Illumination, Llc is an health care organization with primary practice located at 1660 Highway 100 S Suite 502, St Louis Park MN 55416-1529. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Illumination, Llc can be contacted via phone (612) 239-6017, or through Thoeny, Sarah Gravelle via phone (612) 239-6017.

Contact Information

Primary practice address
1660 Highway 100 S Suite 502 St Louis Park MN 55416-1529
Phone: (612) 239-6017
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thoeny, Sarah Gravelle MS LMFT
Phone: (612) 239-6017

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 2150 Minnesota

Profile Details

NPI number 1194140749
LBN Legal business name Illumination, Llc
DBA Doing business as
Authorized official Thoeny, Sarah Gravelle MS LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2014
Last updated Feb 19th, 2014 - about 10 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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