NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

LIGHTSPACE, INC.
1275 BIG FLAT RD
MISSOULA, MT59804-9217
 Phone: 406-728-1413
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LIGHTSPACE, INC.

NPI Number 1497803084
LBN Legal business name LIGHTSPACE, INC.
Authorized official JODI LESLIE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
MT License # 960
UT License # 115184-2501
MT Medicaid 0000253164
MT Other 944653 LCPC, BLUE CROSS BLUE SHI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for LIGHTSPACE, INC.

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for LIGHTSPACE, INC.
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Psychologist
ROBERT B AMMONS III, PH D
2831 FORT MISSOULA ROAD
MISSOULA, MT
ANNA L PETERSON, ED.D, LCPC
129 WEST KENT
MISSOULA, MT
PENNI SPAAN RAYMOND, LCPC
113 W. FRONT ST.,
MISSOULA, MT
BERNARD J BALLEWEG, PHD
125 BANK STREET
MISSOULA, MT
CARMEN F LOUSEN, LCPC AND LAC
210 NORTH HIGGINS
MISSOULA, MT
THOMAS J CLUCAS, PHD
125 BANK STREET
MISSOULA, MT
KAREN A NIELSON SALOIS, PSYCHOLOGIST
35401 MISSION DR.
SAINT IGNATIUS, MT
AUTUMN M DILLER, LAC
1 WOODCOCKS WAY
SAINT IGNATIUS, MT
APRIL QUINLAN LLC
1203 5TH AVENUE EAST
SUPERIOR, MT
SHAWNA R HECKEROTH, LCSW LAC
310 N 4TH ST
HAMILTON, MT

  View all Psychologist
v2.403