Provider Demographics
NPI:1154203917
Name:INNER LIGHT INTEGRATIVE HEALTH, PLLC
Entity type:Organization
Organization Name:INNER LIGHT INTEGRATIVE HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:479-430-8261
Mailing Address - Street 1:7609 HORAN DR
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5109
Mailing Address - Country:US
Mailing Address - Phone:479-430-8261
Mailing Address - Fax:
Practice Address - Street 1:1311 FORT ST STE J
Practice Address - Street 2:
Practice Address - City:BARLING
Practice Address - State:AR
Practice Address - Zip Code:72923-2045
Practice Address - Country:US
Practice Address - Phone:479-430-8261
Practice Address - Fax:800-420-2695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center