MEDICARE: GUIDING LIGHT CLINICAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1821933920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDING LIGHT CLINICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	2363 N HILL FIELD RD STE 5
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-6910
Country	:	US
Telephone Number	:	801-425-4303
Fax Number	:	801-425-4303

Provider Business Practice Location Address
First Line	:	2363 N HILL FIELD RD STE 5
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-6910
Country	:	US
Telephone Number	:	801-425-4303
Fax Number	:	801-425-4303

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	CURTIS GILES
Credential	:	LCSW
Telephone Number	:	801-425-4303

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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