Provider Demographics
NPI:1669917761
Name:GUIDING LIGHT FAMILY SERVICES, L.L.C.
Entity type:Organization
Organization Name:GUIDING LIGHT FAMILY SERVICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:MASTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, RN, BSN
Authorized Official - Phone:504-331-8935
Mailing Address - Street 1:7809 AIRLINE DR STE 209
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-6440
Mailing Address - Country:US
Mailing Address - Phone:504-516-2162
Mailing Address - Fax:504-516-2197
Practice Address - Street 1:7809 AIRLINE DR STE 209
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-6440
Practice Address - Country:US
Practice Address - Phone:504-516-2162
Practice Address - Fax:504-516-2197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health