Organization
ILLUMINATE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CASOLARO LICSW-S (FOUNDER/CLINICAL DIRECTOR)
(251) 517-5398
Entity
Organization
Contact information
Practice address
1040 STANTON RD, SUITE H, DAPHNE, AL 36526
(251) 517-5398
Mailing address
PO BOX 478, FAIRHOPE, AL 36533-0478
(251) 517-5398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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