| Guiding Light Behavioral Health | |
|
7738b Madison Blvd Ste 208 Huntsville AL 35806-3661 | |
| (256) 290-3168 | |
| Not Available |
| Full Name | Guiding Light Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7738b Madison Blvd Ste 208, Huntsville, Alabama |
| Authorized Official Name and Position | Ashley Phelps (OWNER/THERAPIST) |
| Authorized Official Contact | 2562903168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Behavioral Health 164 Browns Ferry Rd Madison AL 35758-1011 Ph: (256) 290-3168 | Guiding Light Behavioral Health 7738b Madison Blvd Ste 208 Huntsville AL 35806-3661 Ph: (256) 290-3168 |
| NPI Number | 1598335648 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 5991178618 |
|---|---|
| Medicare Enrollment ID | O20230228002412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598335648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ashley N Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922511625 PECOS PAC ID: 6800269523 Enrollment ID: I20230228002586 |
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