Organization
ILLUME WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE R MERCHANT MA LPC (OWNER/PARTNER)
(269) 503-1804
Entity
Organization
Contact information
Practice address
1904 E CHICAGO RD, STURGIS, MI 49091-8522
(269) 503-1804
Mailing address
PO BOX 393, STURGIS, MI 49091-0393
(269) 503-1804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
10/09/2025
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