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General NPI Number Information
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NPI Number | 1598624199
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Entity Type | Organization
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Legal Business Name | ILLUMINATION THERAPIES, LLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 12380 PLAZA DR
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City | PARMA
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State | OH
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Zip | 44130-1043
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Country | US
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Telephone | 216-898-8399
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Fax | 216-898-8455
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Provider Business Mailing Address
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Address Line | 12380 PLAZA DR
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City | PARMA
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State | OH
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Zip | 44130-1043
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Country | US
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Telephone | 216-898-8399
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Fax | 216-898-8455
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Authorized Official
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Title or Position | CEO
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Name | JAMES TAYLOR
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Credential |
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Telephone | 216-898-8399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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