Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illume Counseling & Play Therapy

Organization Mental Health Counselor · NPI 1508472648

Illume Counseling & Play Therapy is a Mental Health Counselor in Destin, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

35008 Emerald Coast Pkwy Ste 203
Destin, FL 32541-4752
Phone: (251) 209-0680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1508472648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Backes — President · (251) 209-0216
NPI enumeratedSeptember 22, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address416 Primrose Cir, Destin, FL 32541-2232

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