| Specialty | Taxonomy Code | |
|---|---|---|
| * | General Practice | 163WG0000X |
| Adult Mental Health | 261QM0850X | |
| Family Medicine | 207Q00000X | |
| Health Service | 261QH0100X |
* Indicates primary specialty
| NPI Number | 1518798214 |
| Legal business name LBN |
ILLUSIONS WELLNESS AND RECOVERY LLC |
| Authorized official | NYDIA WHITAKER - (OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 08/13/2024 |
| Last updated | 08/26/2024 - More than a year ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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