Healthcare Provider Details

I. General information

NPI: 1275216814
Provider Name (Legal Business Name): GUIDING LIGHT CARE CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 WEST ROAD TO SIX FLAGS ST STE 128
ARLINGTON TX
76012
US

IV. Provider business mailing address

1301 E DEBBIE LN STE 102 #1659
MANSFIELD TX
76063
US

V. Phone/Fax

Practice location:
  • Phone: 903-326-3223
  • Fax:
Mailing address:
  • Phone: 903-326-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY BRAZWELL
Title or Position: OWNER AND LEAD NURSE CASE MANAGER
Credential:
Phone: 903-326-3223