Innerlight Wellness, Llc

LBN: Innerlight Wellness, Llc
Innerlight Wellness, Llc is an health care organization with primary practice located at 820 Jordan St Suite 204, Shreveport LA 71101-4518. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Innerlight Wellness, Llc can be contacted via phone (318) 267-0757, or through Tracy, Nancy Booker via phone (318) 268-0757.

Contact Information

Primary practice address
820 Jordan St Suite 204 Shreveport LA 71101-4518
Phone: (318) 267-0757
Fax: (318) 670-7232
Website:
Map and Directions
Authorized official contact:
Name: Tracy, Nancy Booker MS, LPC
Phone: (318) 268-0757

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3699 Louisiana

Profile Details

NPI number 1730536202
LBN Legal business name Innerlight Wellness, Llc
DBA Doing business as
Authorized official Tracy, Nancy Booker MS, LPC
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2016
Last updated May 15th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730536202 NPPES
Louisiana MEDICAID 2185942

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