Organization Name: | INNER LIGHT COUNSELING, LLC |
NPI Number: | 1184022105 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERIE ANN FLAGG (OWNER/ THERAPIST) |
Mailing Address: | 520 Topaz Blvd Ste 206 Delta |
State: | UT US |
Postal Code: | 846244103 |
Phone Number: | 4358648575 |
Fax Number: | 4354173113 |
NPI Enumeration Date: | 12/08/2014 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 80117423501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |