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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497803084 | NPPES |
| Montana | MEDICAID | 0000253164 | |
| Montana | Other | 944653 |
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