MEDICARE: INNER LIGHT COUNSELING AND CONSULTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1043148190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER LIGHT COUNSELING AND CONSULTING

Provider Business Mailing Address
First Line	:	1905 EDWARDS LAKE RD # 1017
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3717
Country	:	US
Telephone Number	:	205-784-9464
Fax Number	:

Provider Business Practice Location Address
First Line	:	6613 BROWNING CIRCLE
Second Line	:
City	:	PELHAM
State	:	AL
Zip	:	35124
Country	:	US
Telephone Number	:	205-784-9464
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHARNICE ORUM
Credential	:	ALC
Telephone Number	:	205-784-9464

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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