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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