# ILLUMINATE NORTH CAROLINA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Illuminate NC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821844796
- **Authorized official:** LINDSEY HUMPHREYS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 622-5532

## Contact information

- **Practice address:** 100 S GARNETT ST UNIT 105, HENDERSON, NC 27536-4642
- **Practice address phone:** (919) 622-5532
- **Mailing address:** 100 S GARNETT ST UNIT 105, HENDERSON, NC 27536-4642
- **Mailing address phone:** (919) 622-5532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2024
- **Last updated:** 12/12/2024