Organization
GUIDING LIGHT MENTAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTYN HOWARD (OWNER)
(406) 565-5154
Entity
Organization
Contact information
Practice address
313 SW HIGGINS AVE, MISSOULA, MT 59803-1405
(406) 493-0703
Mailing address
313 SW HIGGINS AVE, MISSOULA, MT 59803-1405
(406) 493-0703
(406) 493-0482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/05/2021
Last updated
09/23/2021
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