Healthcare Provider Details

I. General information

NPI: 1497621684
Provider Name (Legal Business Name): ILLUMINATING HOPE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4088 STATE ROUTE 261
NEWBURGH IN
47630-2650
US

IV. Provider business mailing address

10631 HILLVIEW DR
EVANSVILLE IN
47720-7964
US

V. Phone/Fax

Practice location:
  • Phone: 812-449-6843
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIPHANI FILLINGIM
Title or Position: OWNER
Credential: LCSW
Phone: 812-449-6843