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

Illumii

Organization Mental Health Counselor · NPI 1548885726

Illumii is a Mental Health Counselor in Winston Salem, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4

Practice location Address checks out

121 Reynolda Vlg Ste A
Winston Salem, NC 27106-5126
Phone: (336) 893-9018
Fax: (833) 748-0121
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1548885726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Bennett — Director · (336) 893-9018
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing address121 Reynolda Vlg Ste A, Winston Salem, NC 27106-5126

Other providers in Winston Salem