MEDICARE: INNERLIGHT COMMUNITY ADVOCATES PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	103K00000X	Behavior Analyst
3	1041C0700X	Clinical Social Worker
4	101YP2500X	Professional Counselor
5	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1124717715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNERLIGHT COMMUNITY ADVOCATES PLLC

Provider Business Mailing Address
First Line	:	2000 CRAWFORD ST STE 1650
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-1072
Country	:	US
Telephone Number	:	832-387-4368
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 CRAWFORD ST STE 1650
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-1072
Country	:	US
Telephone Number	:	832-387-4368
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS TAYLOR LEIGH AMADOR
Credential	:	QMHP-CS
Telephone Number	:	832-840-5685

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	12/11/2025

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