| Organization Name: | INNERLIGHT COUNSELING SERVICES LLC |
| NPI Number: | 1427214899 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA MARIE BERGFELD (CLINICAL SOCIAL WORKER) |
| Mailing Address: | 6199 Miller Rd Suite A Swartz Creek |
| State: | MI US |
| Postal Code: | 484731585 |
| Phone Number: | 8106300904 |
| Fax Number: | 8106300962 |
| NPI Enumeration Date: | 08/05/2008 |
| NPI Last Update Date: | 08/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801061244 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |