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

Illuminate Life Therapy, LLC

Organization Clinical Social Worker · NPI 1194408500

Illuminate Life Therapy, LLC is a Clinical Social Worker in Ankeny, Iowa. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1605 N Ankeny Blvd Ste 110
Ankeny, IA 50023-4163
Phone: (515) 520-8164
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1194408500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Hollister — Owner · (515) 520-8164
NPI enumeratedAugust 11, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023
Mailing address1605 N Ankeny Blvd Ste 110, Ankeny, IA 50023-4163

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