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

Illumine LLC

Organization Professional Counselor · NPI 1750742664

Illumine LLC is a Professional Counselor in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
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

605 Post Ofc RD Ste 301
Waldorf, MD 20602-1913
Phone: (301) 928-6045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC2196 (MD)

Record details

NPI number1750742664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wade Green — Partner · (301) 928-6045
NPI enumeratedMarch 19, 2016
Last updated in NPPESMarch 19, 2016
Mailing address605 Post Office Rd Ste 301, Waldorf, MD 20602-1913

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