Healthcare Provider Details

I. General information

NPI: 1578225231
Provider Name (Legal Business Name): GUIDING LIGHT CHRISTIAN COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2021
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 COLLINS RD NE STE 110
CEDAR RAPIDS IA
52402-3147
US

IV. Provider business mailing address

1221 PARK PL NE STE A
CEDAR RAPIDS IA
52402-2019
US

V. Phone/Fax

Practice location:
  • Phone: 319-382-8664
  • Fax:
Mailing address:
  • Phone: 319-382-8664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ALICIA M GERBER
Title or Position: CLINICALS THERAPIST/OWNER
Credential: LMHC
Phone: 319-382-8664