Healthcare Provider Details

I. General information

NPI: 1033095997
Provider Name (Legal Business Name): INNER LIGHT COUNSELING COLLECTIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 W CHESTNUT ST
ASHEVILLE NC
28801-2107
US

IV. Provider business mailing address

177 W CHESTNUT ST
ASHEVILLE NC
28801-2107
US

V. Phone/Fax

Practice location:
  • Phone: 310-254-8417
  • Fax:
Mailing address:
  • Phone: 310-254-8417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LISSA CARTER
Title or Position: OWNER
Credential: LCMHC/LCAS
Phone: 310-254-8417