Healthcare Provider Details

I. General information

NPI: 1841140050
Provider Name (Legal Business Name): INNER LIGHT THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 LIMIT AVE
IDLEWYLDE MD
21239-1724
US

IV. Provider business mailing address

1344 LIMIT AVE
IDLEWYLDE MD
21239-1724
US

V. Phone/Fax

Practice location:
  • Phone: 443-819-0048
  • Fax:
Mailing address:
  • Phone: 443-819-0048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOHANNA S HOWE
Title or Position: OWNER
Credential: LCPC
Phone: 443-604-7451