Healthcare Provider Details

I. General information

NPI: 1043148190
Provider Name (Legal Business Name): INNER LIGHT COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6613 BROWNING CIRCLE
PELHAM AL
35124
US

IV. Provider business mailing address

1905 EDWARDS LAKE RD # 1017
BIRMINGHAM AL
35235-3717
US

V. Phone/Fax

Practice location:
  • Phone: 205-784-9464
  • Fax:
Mailing address:
  • Phone: 205-784-9464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHARNICE ORUM
Title or Position: OWNER
Credential: ALC
Phone: 205-784-9464