| Inner Light Therapy Llc | |
|
1131 E 76th Ave Ste 201 Anchorage AK 99518-3209 | |
| (907) 205-7887 | |
| (907) 206-7203 |
| Full Name | Inner Light Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1131 E 76th Ave Ste 201, Anchorage, Alaska |
| Authorized Official Name and Position | Shanna S. Simmons (OWNER/CLINICAL MANAGER) |
| Authorized Official Contact | 9072057887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Light Therapy Llc 1131 E 76th Ave Ste 201 Anchorage AK 99518-3209 Ph: (907) 205-7887 | Inner Light Therapy Llc 1131 E 76th Ave Ste 201 Anchorage AK 99518-3209 Ph: (907) 205-7887 |
| NPI Number | 1356059125 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356059125 | NPI | - | NPPES |
| 185850 | Other | AK | STATE OF ALASKA, PROFESSIONAL LICENSING DIVISION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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