1. Home
  2. Directory
  3. Rhode Island
  4. West Warwick
  5. Clinic Center
  6. NPI Profile

ILLUMINATE LIFE WELLNESS LLC
NPI 1114512829
Clinic/Center - Adult Mental Health in West Warwick, RI

Active since March 04, 2021
126 PAWTUXET TER, WEST WARWICK, RI 02893(401) 542-9080 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illuminate Life Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUMINATE LIFE WELLNESS LLC (NPI 1114512829) is a healthcare organization registered as an adult mental health in West Warwick, Rhode Island and active in the NPI registry since March 2021. The organization lists Katherine Kinsella, Manager, as its authorized official.

NPPES Registry Identity

NPI1114512829
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameILLUMINATE LIFE WELLNESS LLC
Location Address126 PAWTUXET TERWest Warwick, RI 02893-5212
Mailing Address126 Pawtuxet TerWest Warwick, RI 02893-5212
Phone(401) 542-9080
Organization SubpartNo
Authorized OfficialKatherine KinsellaManager · (401) 542-9080
Enumeration DateMarch 4, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1114512829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
126 PAWTUXET TER, West Warwick, RI 02893
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illuminate Life Wellness LLC's NPI number?

The NPI number for Illuminate Life Wellness LLC is 1114512829. It was assigned to this organization in the NPPES registry on March 4, 2021.

Where is Illuminate Life Wellness LLC located?

Illuminate Life Wellness LLC is located at 126 Pawtuxet Ter, West Warwick, RI 02893. The listed phone number is (401) 542-9080.

What is Illuminate Life Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Illuminate Life Wellness LLC was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.