Provider Demographics
NPI:1275216814
Name:GUIDING LIGHT CARE CONSULTANTS, LLC
Entity Type:Organization
Organization Name:GUIDING LIGHT CARE CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND LEAD NURSE CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAZWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-326-3223
Mailing Address - Street 1:1301 E DEBBIE LN
Mailing Address - Street 2:STE 102 #1659
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063
Mailing Address - Country:US
Mailing Address - Phone:903-326-3223
Mailing Address - Fax:
Practice Address - Street 1:801 WEST ROAD TO SIX FLAGS ST STE 128
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012
Practice Address - Country:US
Practice Address - Phone:903-326-3223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management