Organization

Illuminate Psychotherapy Pllc

Clinical Psychologist in Chattanooga, TN(View on Map)

Legal Business Name

Illuminate Psychotherapy Pllc

NPI Number

1417568890

NPI Type

Organization

Enumeration Date

08/11/2020

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

101 JORDAN DR
101 JORDAN DR

City

Chattanooga
Chattanooga

State

TN
TN

Postal Code

37421-6732
37421-6732

Country

US
US

Telephone Number

(423) 510-1999
(423) 510-1999

Authorized Official

Name

Ms. Judy Gilliam

Title or Position

ADMINISTRATIVE EXPERT

Telephone Number

(423) 510-1999

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/11/2020

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