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Organization

ILLUMINATION THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY ZIMMERMAN LGMFT, LGPC, MT-BC (THERAPIST)
(202) 656-6746
Entity
Organization

Contact information

Practice address
9 SERPENTINE CT, SILVER SPRING, MD 20904-5336
(202) 770-5759
Mailing address
9 SERPENTINE CT, SILVER SPRING, MD 20904-5336
(202) 770-5759

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
06/03/2025
Last updated
06/03/2025
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