Organization
INNER LIGHT COUNSELING & BODYWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALIA E SULLIVAN LCSW (OWNER)
(541) 203-6703
Entity
Organization
Contact information
Practice address
2520 CHAUCER CT, EUGENE, OR 97405-1217
(541) 203-6703
(541) 229-1209
Mailing address
2520 CHAUCER CT, EUGENE, OR 97405-1217
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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