Healthcare Provider Details

I. General information

NPI: 1215862230
Provider Name (Legal Business Name): GUIDING LIGHT THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 CARROLL ST STE A
BOONE IA
50036-2845
US

IV. Provider business mailing address

608 CARROLL ST STE A
BOONE IA
50036-2845
US

V. Phone/Fax

Practice location:
  • Phone: 515-762-6931
  • Fax: 515-220-2560
Mailing address:
  • Phone: 515-762-6931
  • Fax: 515-220-2560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CASSIE ST. AUBIN
Title or Position: OWNER/THERAPIST
Credential: LMHC
Phone: 515-291-3627