Illuminate Ketamine Center PLLC
Illuminate Ketamine Center PLLC is an Addiction (Substance Use Disorder) Counselor in Kingsport, Tennessee. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 5
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1936 Brookside Dr Ste EKingsport, TN 37660-4654
Phone: (423) 765-0777
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Marriage & Family Therapist | Taxonomy 106H00000X |
| Infusion Therapy Clinic/Center | Taxonomy 261QI0500X |
Record details
| NPI number | 1649833062 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shelia Beasley — Co-Owner/ President · (423) 765-0777 |
| Other names | Illuminate Wellness Center |
| NPI enumerated | April 22, 2019 |
| Last updated in NPPES | March 3, 2021 |
| Certification date | March 3, 2021 |
| Mailing address | 1936 Brookside Dr Ste E, Kingsport, TN 37660-4654 |