NPI | 1740861954 |
---|---|
Doing Business As | INNER LIGHT COUNSELING SERVICES |
Entity Type | Organization |
Authorized Contact | MYSTAL AXTMAN Owner 701-478-0906 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2021-04-19 |
Last Update Date | 2023-02-15 |