Provider Demographics
NPI:1629569215
Name:INSTILLING LIGHT PLLC
Entity Type:Organization
Organization Name:INSTILLING LIGHT PLLC
Other - Org Name:INSTILLING LIGHT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:NORA
Authorized Official - Last Name:STILLING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:608-843-1641
Mailing Address - Street 1:10813 W 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4792
Mailing Address - Country:US
Mailing Address - Phone:608-843-1641
Mailing Address - Fax:
Practice Address - Street 1:9101 HARLAN ST STE 340
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-2924
Practice Address - Country:US
Practice Address - Phone:720-815-4448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-20
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health