Lightspace, Inc. is a Counselor Clinic in Missoula, Montana. It is located at 1275 Big Flat Rd, Missoula, MT and its contact number is 406-728-1413. The authorized person for Lightspace, Inc. is Dr. Jodi Leslie
who is President of the clinic and his/her contact number is 406-728-1413. The primary license number for Lightspace, Inc. is 115184-2501 (Psychologist) in Utah. Lightspace, Inc. Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Lightspace, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lightspace, Inc.
Specialization:
Professional Counselor
Clinic Address:
1275 Big Flat Rd, Missoula, Montana, 59804-9217
Phone:
406-728-1413
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jodi Leslie
Position:
President
Contact Number:
406-728-1413
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lightspace, Inc. clinic are as mentioned below.
NPI Number:
1497803084
NPI Enumeration Date:
08 Jan, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lightspace, Inc. are as mentioned below.
Specialization
License Number
State
Status
Psychologist
115184-2501
Utah
Primary
Professional
960
Montana
Secondary
Psychologist
115184-2501
Utah
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0000253164
Medicaid
Montana
944653
Other
Montana
Lcpc, Blue Cross Blue Shi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lightspace, Inc. 1275 Big Flat Rd, Missoula, Montana
Zip:
59804-9217
Phone Number:
406-728-1413
Patients can reach Lightspace, Inc. at 1275 Big Flat Rd, Missoula, Montana or can call to book an appointment on 406-728-1413. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.