Healthcare Provider Details

I. General information

NPI: 1427960673
Provider Name (Legal Business Name): GUIDING LIGHT BEHAVIORAL HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 BYRNE DR
MONTGOMERY AL
36111-2505
US

IV. Provider business mailing address

857 BYRNE DR
MONTGOMERY AL
36111-2505
US

V. Phone/Fax

Practice location:
  • Phone: 334-538-1870
  • Fax:
Mailing address:
  • Phone: 334-538-1870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. KIARA DENEA SMITH
Title or Position: OWNER
Credential: LICW
Phone: 334-538-1870