| NPI | 1386292019 |
|---|---|
| Other Name | INNER LIGHT THERAPY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | JAYME LILES Owner 337-247-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2022-08-16 |