Organization
ILLUMINATE THERAPY AND WELLNESS, S-CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETA NIELSEN LCPC, NCC (OWNER/PSYCHOTHERAPIST)
(847) 687-7675
Entity
Organization
Contact information
Practice address
1 E NORTHWEST HWY STE 201, PALATINE, IL 60067-1700
(847) 908-8700
(847) 907-9780
Mailing address
1 E NORTHWEST HWY STE 201, PALATINE, IL 60067-1700
(847) 908-8700
(847) 907-9780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/16/2020
Last updated
01/09/2024
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