# ILLUMINATED SELF THERAPY SERVICES LLC

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

## Provider details

- **NPI number:** 1669327938
- **Authorized official:** NIKI LENAE KENLEY LPCC (OWNER)
- **Authorized official phone:** (513) 580-4435

## Contact information

- **Practice address:** 1329 E KEMPER RD STE 4212B, SPRINGDALE, OH 45246-5100
- **Practice address phone:** (513) 580-4435
- **Practice address fax:** (513) 832-0499
- **Mailing address:** 1329 E KEMPER RD STE 4212B, SPRINGDALE, OH 45246-5100
- **Mailing address phone:** (513) 580-4435
- **Mailing address fax:** (513) 832-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2026
- **Last updated:** 04/20/2026