Organization
INNER LIGHT THERAPY LLC
Active
Organization
INNER LIGHT THERAPY LLC
Active
Other names
Inner Light Transformation and Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA S. SIMMONS MS, LPC, NCC (OWNER/CLINICAL MANAGER)
(907) 205-7887
Entity
Organization
Contact information
Practice address
1131 E 76TH AVE STE 201, ANCHORAGE, AK 99518-3209
(907) 205-7887
(907) 206-7203
Mailing address
1131 E 76TH AVE STE 201, ANCHORAGE, AK 99518-3209
(907) 205-7887
(907) 206-7203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185850
STATE OF ALASKA, PROFESSIONAL LICENSING DIVISION
AK
Enumeration date
11/10/2022
Last updated
11/10/2022
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