GUIDING LIGHT BEHAVIORAL CONSULTING NPI 1295456119

NPI Information

  • NPI: 1295456119
  • Provider Name: GUIDING LIGHT BEHAVIORAL CONSULTING
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 2168 OAKGLEN ST
    IMPERIAL, MO
    ZIP 63052
  • Phone: (217) 220-1551

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NPI Details

GUIDING LIGHT BEHAVIORAL CONSULTING is a developmental disabilities clinic center in Imperial, MO. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). GUIDING LIGHT BEHAVIORAL CONSULTING NPI is 1295456119. The provider is registered as an organization entity type.

The provider's business location address is:

2168 OAKGLEN ST
IMPERIAL, MO
ZIP 63052-369
Phone: (217) 220-1551

The provider's authorized official is Krystal Coleman .
The authorized official title is Owner and has the following contact phone number (217) 220-1551.

The enumeration date for this NPI number is 9/8/2022 and was last updated on 9/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12017039906OTHERMISSOURILBA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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