Organization
ILLUMINATE NORTH CAROLINA
Active
Other names
Illuminate NC
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY HUMPHREYS (EXECUTIVE DIRECTOR)
(919) 622-5532
Entity
Organization
Contact information
Practice address
100 S GARNETT ST UNIT 105, HENDERSON, NC 27536-4642
(919) 622-5532
Mailing address
100 S GARNETT ST UNIT 105, HENDERSON, NC 27536-4642
(919) 622-5532
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
12/12/2024
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