| Innerlight Wellness P.l.l.c | |
|
4301 N Kenney Rd Otis Orchards WA 99027 | |
| (208) 661-5991 | |
| Not Available |
| Full Name | Innerlight Wellness P.l.l.c |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4301 N Kenney Rd, Otis Orchards, Washington |
| Authorized Official Name and Position | Heidi J Cooper (OWNER) |
| Authorized Official Contact | 2086615991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerlight Wellness P.l.l.c Po Box 92 Otis Orchards WA 99027-0092 Ph: () - | Innerlight Wellness P.l.l.c 4301 N Kenney Rd Otis Orchards WA 99027 Ph: (208) 661-5991 |
| NPI Number | 1558243493 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558243493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |