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Guiding Light Behavioral Consulting
Developmental Disabilities Clinic/Center in Imperial, Missouri
NPI 1295456119

Guiding Light Behavioral Consulting is a Developmental Disabilities Clinic/Center based in Imperial, MO and is specialized in Developmental Disabilities. Guiding Light Behavioral Consulting practices in Imperial, MO. The NPI Number for Guiding Light Behavioral Consulting is 1295456119 and holds a License No. (Missouri).

The current practice location address for Guiding Light Behavioral Consulting is 2168 Oakglen St, Imperial, MO and can be reached out via phone at 217-220-1551.

Location: 2168 Oakglen St, Imperial, MO, 63052-4369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295456119
Provider Name
Guiding Light Behavioral Consulting
Credential
Provider Entity Type
Organization
Address
2168 Oakglen St, Imperial, MO, 63052-4369
Phone Number
217-220-1551
Fax Number
Provider Enumeration Date
09/08/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2017039906 01 MO LBA
institution
Provider Business Practice Location Address Details
Address
2168 Oakglen St
City
Imperial
State
Missouri
Zip
63052-4369
Phone Number
217-220-1551
Fax Number
person
Provider Business Mailing Address Details
Address
2168 Oakglen St
City
Imperial
State
Missouri
Zip
63052-4369
Phone Number
217-220-1551
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
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.).
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