ILLUMINATIONS CHRISTIAN COUNSELING, PLLC (NPI# 1508171455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508171455 |
| Entity Type | Organization |
| Organization Name | ILLUMINATIONS CHRISTIAN COUNSELING, PLLC |
| Practice Address |
1157 Shadow Dr Troy MI 48085-1779 |
| Practice Telephone | 2482242930 |
| Mailing Telephone | 2482242930 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |
| Authorized Official Name | MRS. JENNIFER G GILLETTE (SOCIAL WORKER/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 2482242930 |
| Authorized Official Credential | LMSW, OSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6801081393 | MI | Ambulatory Health Care Facilities |
| Street Address |
1157 SHADOW DR |
| City | TROY |
| State | MI |
| Zip Code | 48085-1779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952871907 | Radiate Counseling, Pllc | Clinic/Center | 3190 Rochester Rd Ste 106, Troy, MI 48083-5464 | 2018-12-03 |
| 1104331289 | Choices Counseling, Inc. | Clinic/Center | 197b E Us Highway 40, Troy, IL 62294-2262 | 2017-12-11 |
| 1558883652 | Desjardins Therapeutic Services LLC | Clinic/Center | 3190 Rochester Rd Ste 102, Troy, MI 48083-5464 | 2017-07-10 |
| 1285181628 | Pathways Counseling and Wellness Services, LLC | Clinic/Center | 115 Kenyon Dr, Troy, MI 48083-1047 | 2016-09-01 |
| 1285717413 | East Central Mental Health Mental Retardation, Inc. | Clinic/Center | 200 Cherry St, Troy, AL 36081-2044 | 2006-10-23 |
| 1255943031 | Path To Peace Therapeutic Counseling Center | Clinic/Center | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2020-08-21 |
| 1205476397 | Your Best Self Counseling | Clinic/Center | 2820 W Maple Rd Ste 123, Troy, MI 48084-7047 | 2020-01-07 |
| 1073154407 | The Behavioral Change Clinic Pllc | Clinic/Center | 200 E Big Beaver Rd, Troy, MI 48083-1208 | 2019-10-07 |
| 1518529049 | Courtney J. Boyd, Phd | Clinic/Center | 200 East Big Beaver Road, Troy, MI 48083 | 2019-07-04 |
| 1861950933 | Compassionate Christ Centered Counseling, LLC | Clinic/Center | 2888 E Long Lake Rd Ste 170, Troy, MI 48085-7011 | 2019-03-07 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.