Organization
ILLUM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOV SMILOWITZ (OWNER)
(917) 471-1484
Entity
Organization
Contact information
Practice address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(917) 471-1484
Mailing address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/12/2025
Last updated
11/04/2025
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