Organization
ILLUMINATE THERAPY LLC
Active
Other names
Illuminate Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY THOMPSON MA LPC (OWNER)
(517) 974-9353
Entity
Organization
Contact information
Practice address
234 W CAROLINE ST STE 3, FENTON, MI 48430-2807
(517) 974-9353
Mailing address
234 W CAROLINE ST STE 3, FENTON, MI 48430-2807
(517) 974-9353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306242623
—
MI
Enumeration date
10/14/2019
Last updated
11/06/2025
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