Provider Demographics
NPI:1699523100
Name:GUIDING LIGHT TREATMENT SOLUTIONS
Entity type:Organization
Organization Name:GUIDING LIGHT TREATMENT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-471-0628
Mailing Address - Street 1:607 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4603
Mailing Address - Country:US
Mailing Address - Phone:406-698-8578
Mailing Address - Fax:877-940-2649
Practice Address - Street 1:607 26TH ST W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4603
Practice Address - Country:US
Practice Address - Phone:406-698-8578
Practice Address - Fax:877-940-2649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty