Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadow and Light Wellness LLC

Organization Mental Health Counselor · NPI 1023823531

Shadow and Light Wellness LLC is a Mental Health Counselor in Ammon, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

919 S 25th E
Ammon, ID 83406-5731
Phone: (208) 227-3571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1023823531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Hodge-Tracy — Owner/Counselor · (208) 227-3571
NPI enumeratedFebruary 11, 2025
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address785 Terrace Dr, Idaho Falls, ID 83402-3113

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