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INNERLIGHT WELLNESS, LLC
NPI 1730536202
Counselor - Professional in Shreveport, LA

Active since May 15, 2016
820 JORDAN ST, SUITE 204, SHREVEPORT, LA 71101(318) 267-0757(318) 670-7232 Get Directions Write a Review

NPPES record last updated: May 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Innerlight Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNERLIGHT WELLNESS, LLC (NPI 1730536202) is a healthcare organization registered as a professional in Shreveport, Louisiana and active in the NPI registry since May 2016. The organization lists Nancy Booker Tracy, Owner, as its authorized official.

NPPES Registry Identity

NPI1730536202
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameINNERLIGHT WELLNESS, LLC
Location Address820 JORDAN ST, SUITE 204Shreveport, LA 71101-4518
Mailing Address1113 Drew LnMinden, LA 71055-2301 · (318) 268-0757 · Fax (318) 670-7232
Phone(318) 267-0757
Fax(318) 670-7232
Organization SubpartNo
Authorized OfficialNancy Booker TracyOwner · (318) 268-0757
Enumeration DateMay 15, 2016
✔ NPI 1730536202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 3699
820 JORDAN ST, Shreveport, LA 71101
Open in Google Maps ↗

Other Identifiers 1

Medicaid2185942LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. NORMAN THOMAS MOORE LPC, LMFT
Marriage & Family Therapist
820 JORDAN ST, SUITE 570
SHREVEPORT, LA 71101
Caddo Parish (318) 221-4455
TINA MARIA ANDERSON MA
Contractor
820 JORDAN ST, STE 510 B
SHREVEPORT, LA 71101
Caddo Parish (318) 429-4377
JUSTIN K JONES L.P.C.
Counselor (Professional)
820 JORDAN ST, SUITE 401
SHREVEPORT, LA 71101
Caddo Parish (318) 222-6800
MR. FRANK WILLIAM WHITE LCSW
Social Worker (Clinical)
820 JORDAN ST, STE. 570
SHREVEPORT, LA 71101
Caddo Parish (318) 221-4455
MR. KELVIN WAYNE LATSON
Counselor (Mental Health)
820 JORDAN ST
SHREVEPORT, LA 71101
Caddo Parish (318) 208-8166
RED RIVER ORTHOTIC SPECIALISTS, LLC
Prosthetic/Orthotic Supplier
820 JORDAN ST, SUITE 110
SHREVEPORT, LA 71101
Caddo Parish (318) 226-4546
MARY JOHNETT WATERMAN LCSW
Social Worker (Clinical)
820 JORDAN ST, SUITE 220
SHREVEPORT, LA 71101
Caddo Parish (318) 226-8753
DR. JAMES P FLOYD LLC
Internal Medicine
820 JORDAN ST, SUITE 210
SHREVEPORT, LA 71101
Caddo Parish (318) 675-1324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innerlight Wellness, LLC's NPI number?

The NPI number for Innerlight Wellness, LLC is 1730536202. It was assigned to this organization in the NPPES registry on May 15, 2016.

Where is Innerlight Wellness, LLC located?

Innerlight Wellness, LLC is located at 820 Jordan St Suite 204, Shreveport, LA 71101. The listed phone number is (318) 267-0757.

What is Innerlight Wellness, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Innerlight Wellness, LLC was last updated on May 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.