| Innerlight Therapy | |
|
206 Sacramento St Ste 204 Nevada City CA 95959-2633 | |
| (530) 277-3998 | |
| (866) 834-9865 |
| Full Name | Innerlight Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 206 Sacramento St Ste 204, Nevada City, California |
| Authorized Official Name and Position | Michelle Tracy (OWNER) |
| Authorized Official Contact | 5302773998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerlight Therapy 206 Sacramento St Ste 204 Nevada City CA 95959-2633 Ph: (530) 277-3998 | Innerlight Therapy 206 Sacramento St Ste 204 Nevada City CA 95959-2633 Ph: (530) 277-3998 |
| NPI Number | 1841900016 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841900016 | NPI | - | NPPES |
| 1124455316 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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