Inner Light Counseling & Bodywork LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INNER LIGHT COUNSELING & BODYWORK LLC

Practice address

2520 Chaucer CT
Eugene, OR 97405-1217

Phone

(541) 203-6703

Fax

(541) 229-1209

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amalia E Sullivan, LCSWNPI 1881974780

Title

Owner

Phone

(541) 203-6703

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amalia Sullivan, LCSW

  • Social Worker
  • Eugene, OR
  • NPI 1881974780
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1124637236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CHAUCER CT",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CHAUCER CT",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051217",
            "telephone_number": "541-203-6703",
            "fax_number": "541-229-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LIGHT COUNSELING & BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-203-6703",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Suzanne Ingle, PHARM D
• Holly Michelle Ingling, CRCC
• Injoy Wellness
• Inkwell Medical Group LLC
• Inland Psychiatric Medical Group, Inc.
• Inner Room Somatic Therapy, LLC
• Inner Sage Wellness LLC
• Risa Jane Inniss
• Innovative Sports Inc.
• Insight Northwest Behavioral Services, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.