Illumine Llc

LBN: Illumine Llc
Illumine Llc is an health care organization with primary practice located at 605 Post Office Rd Ste 301 , Waldorf MD 20602-1913. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Illumine Llc can be contacted via phone (301) 928-6045, or through Green, Wade Morgan via phone (301) 928-6045.

Contact Information

Primary practice address
605 Post Office Rd Ste 301 Waldorf MD 20602-1913
Phone: (301) 928-6045
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Wade Morgan PSYD., LCPC-S
Phone: (301) 928-6045

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC2196 Maryland

Profile Details

NPI number 1750742664
LBN Legal business name Illumine Llc
DBA Doing business as
Authorized official Green, Wade Morgan PSYD., LCPC-S
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2016
Last updated Mar 19th, 2016 - about 8 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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