# ILLUMINATE LIFE COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528575123
- **Authorized official:** DR. KATHERINE KINSELLA ED.D, LMFT, LMHC (MANAGER)
- **Authorized official phone:** (843) 696-6221

## Contact information

- **Practice address:** 2220 PLAINFIELD PIKE, CRANSTON, RI 02921-2031
- **Practice address phone:** (401) 889-3788
- **Practice address fax:** (401) 223-6506
- **Mailing address:** 126 PAWTUXET TER, WEST WARWICK, RI 02893-5212
- **Mailing address phone:** (843) 696-6221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | MHC00885 | RI | — |
| 106H00000X | Marriage & Family Therapist | 4649 | SC | — |
| 106H00000X | Marriage & Family Therapist | MFT00179 | RI | Yes |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 01/04/2018