Shadow And Light Wellness Llc
Counselor - Mental Health
About Shadow And Light Wellness Llc
Shadow And Light Wellness Llc is a healthcare organization providing Counselor - Mental Health services, with specialized expertise in Mental Health, registered under National Provider Identifier (NPI) number 1023823531.
The authorized official for Shadow And Light Wellness Llc is SAMANTHA HODGE-TRACY. The organization is headquartered at 919 S 25TH E, Ammon, Idaho 83406. The main office can be reached at (208) 227-3571.
Shadow And Light Wellness Llc has been NPI-registered since 2025.
Locations & Contact
Primary Location
- Address
- 919 S 25TH E
- City
- Ammon
- State
- Idaho
- ZIP
- 83406-5731
- Phone
- (208) 227-3571
Authorized Official
- Name
- SAMANTHA HODGE-TRACY
Mailing Address
- Address
- 785 TERRACE DR
- City
- IDAHO FALLS
- State
- ID
- ZIP
- 834023113
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Counselor - Mental Health
- Classification
- Counselor
- Specialization
- Mental Health
- Taxonomy Code
- 101YM0800X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Shadow And Light Wellness Llc's NPI number?
What does Shadow And Light Wellness Llc specialize in?
Where is Shadow And Light Wellness Llc located?
Does Shadow And Light Wellness Llc accept Medicare?
Does Shadow And Light Wellness Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Shadow And Light Wellness Llc holds NPI 1023823531, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.