# GUIDING LIGHT MENTAL HEALTH AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336031202
- **Authorized official:** KAYCE BRADLEY (HEALTHCARE PROVIDER)
- **Authorized official phone:** (801) 388-3981

## Contact information

- **Practice address:** 965 S 100 W STE 106, LOGAN, UT 84321-6067
- **Practice address phone:** (801) 436-7783
- **Mailing address:** 911 W 2840 S, NIBLEY, UT 84321-6522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2025
- **Last updated:** 07/16/2025