| NPI | 1356059125 |
|---|---|
| Doing Business As | INNER LIGHT TRANSFORMATION AND THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANNA S. SIMMONS Owner/Clinical Manager 907-205-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |