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General NPI Number Information
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NPI Number | 1235017872
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Entity Type | Organization
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Legal Business Name | ILLUMINAURA EMDR & PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 1709 HOMANN DR SE
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City | LACEY
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State | WA
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Zip | 98503-2841
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Country | US
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Telephone | 253-365-7153
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 HOMANN DR SE
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City | LACEY
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State | WA
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Zip | 98503-2841
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Country | US
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Telephone | 253-365-7153
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCH NURSE PRACTITIONER
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Name | DR. LINDSAY ROSE MONTOYA
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Credential | NP
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Telephone | 360-369-0864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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