Guiding Light Behavioral Consulting

NPI #1295456119 in Imperial, Missouri

Provider Information

NPI Number: 1295456119
Entity Type: Organization
Organization Name: Guiding Light Behavioral Consulting
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Sep 8, 2022
Last Updated: Sep 8, 2022

Practice Location

Address: 2168 OAKGLEN ST
City: Imperial
State: Missouri
ZIP Code: 63052-4369
Phone: (217) 220-1551

Authorized Official

Name: KRYSTAL COLEMAN
Title: OWNER
Phone: (217) 220-1551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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