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INNER LIGHT COUNSELING SERVICES LTD NPI 1740861954


NPI Information

NPI: 1740861954
Provider Name: INNER LIGHT COUNSELING SERVICES, LTD

Doing Business As: INNER LIGHT COUNSELING SERVICES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4675 40TH AVE S STE 115
FARGO, ND
ZIP 58104
Phone: (701) 478-0906
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INNER LIGHT COUNSELING SERVICES, LTD is a professional counselor in Fargo, ND. INNER LIGHT COUNSELING SERVICES, LTD NPI is 1740861954. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Inner Light Counseling Services.

The provider's business location address is:

4675 40TH AVE S STE 115
FARGO, ND
ZIP 58104-592
Phone: (701) 478-0906
Fax: (701) 478-0909

The provider's authorized official is Mystal Axtman .
The authorized official title is Owner and has the following contact phone number (701) 478-0906.

The enumeration date for this NPI number is 4/19/2021 and was last updated on 2/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.