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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