Organization
ILLUMINATIONS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WHITEHEAD LCPC (OWNER)
(208) 932-8350
Entity
Organization
Contact information
Practice address
1323 AMMON PARK DR, AMMON, ID 83406-4591
(208) 932-8350
(208) 938-2330
Mailing address
1323 AMMON PARK DR, AMMON, ID 83406-4591
(208) 932-8350
(208) 938-2330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/28/2023
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