Lightspace, Inc.

LBN: Lightspace, Inc.
Lightspace, Inc. is an health care organization with primary practice located at 1275 Big Flat Rd , Missoula MT 59804-9217. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Lightspace, Inc. can be contacted via phone (406) 728-1413, or through Leslie, Jodi via phone (406) 728-1413.

Contact Information

Primary practice address
1275 Big Flat Rd Missoula MT 59804-9217
Phone: (406) 728-1413
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leslie, Jodi PH.D, LCPC
Phone: (406) 728-1413

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 960 Montana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 115184-2501 Utah

Profile Details

NPI number 1497803084
LBN Legal business name Lightspace, Inc.
DBA Doing business as
Authorized official Leslie, Jodi PH.D, LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497803084 NPPES
Montana MEDICAID 0000253164
Montana Other 944653

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