Provider Demographics
NPI:1003453523
Name:INNER LIGHT COUNSELING SERVICES, PC
Entity Type:Organization
Organization Name:INNER LIGHT COUNSELING SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:972-978-5914
Mailing Address - Street 1:1616 S KENTUCKY ST STE C220
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-2290
Mailing Address - Country:US
Mailing Address - Phone:972-978-5914
Mailing Address - Fax:
Practice Address - Street 1:1616 S KENTUCKY ST STE C220
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-2290
Practice Address - Country:US
Practice Address - Phone:972-978-5914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty