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ILLUMINE LLC
NPI 1750742664
Counselor - Professional in Waldorf, MD

Active since March 19, 2016
605 POST OFFICE RD STE 301, WALDORF, MD 20602(301) 928-6045 Get Directions Write a Review

NPPES record last updated: March 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illumine Llc NPPES

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

ILLUMINE LLC (NPI 1750742664) is a healthcare organization registered as a professional in Waldorf, Maryland and active in the NPI registry since March 2016. The organization lists Wade Morgan Green, Partner, as its authorized official.

NPPES Registry Identity

NPI1750742664
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameILLUMINE LLC
Location Address605 POST OFFICE RD STE 301Waldorf, MD 20602-1913
Mailing Address605 Post Office Rd Ste 301Waldorf, MD 20602-1913 · (301) 928-6045
Phone(301) 928-6045
Organization SubpartNo
Authorized OfficialWade Morgan GreenPartner · (301) 928-6045
Enumeration DateMarch 19, 2016
✔ NPI 1750742664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC2196
605 POST OFFICE RD STE 301, Waldorf, MD 20602
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERTHA WHITE LCSW-C
Social Worker (Clinical)
605 POST OFFICE RD STE 301
WALDORF, MD 20602
Charles County (240) 346-0934
MS. ELVETA E. GIBSON LICSW, LCSW-C, LCSW
Social Worker (Clinical)
605 POST OFFICE RD STE 301
WALDORF, MD 20602
Charles County (301) 609-2988
PINNACLE COUNSELING AND CONSULTING GROUP, LLC
Social Worker (Clinical)
605 POST OFFICE RD STE 301
WALDORF, MD 20602
Charles County (301) 609-2988
DELORES FORD-EDWARDS
Social Worker (Clinical)
605 POST OFFICE RD STE 301
WALDORF, MD 20602
Charles County (240) 346-0934

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 Illumine LLC's NPI number?

The NPI number for Illumine LLC is 1750742664. It was assigned to this organization in the NPPES registry on March 19, 2016.

Where is Illumine LLC located?

Illumine LLC is located at 605 Post Office Rd Ste 301, Waldorf, MD 20602. The listed phone number is (301) 928-6045.

What is Illumine LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Illumine LLC was last updated on March 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.