Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Illumine LLC

Organization Professional Counselor · NPI 1750742664

Illumine LLC provides Professional Counselor services 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 Not confirmed with CMS for 10 years — call before visiting
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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