Healthcare Provider Details

I. General information

NPI: 1699523100
Provider Name (Legal Business Name): GUIDING LIGHT TREATMENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2024
Last Update Date: 05/11/2024
Certification Date: 05/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 26TH ST W
BILLINGS MT
59102-4603
US

IV. Provider business mailing address

607 26TH ST W
BILLINGS MT
59102-4603
US

V. Phone/Fax

Practice location:
  • Phone: 406-698-8578
  • Fax: 877-940-2649
Mailing address:
  • Phone: 406-698-8578
  • Fax: 877-940-2649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CLAIRE LAH
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 360-471-0628