OrganizationActive
Lightspace, Inc.
NPI 1497803084 · Psychologist · Missoula, MT
Provider details
- NPI number
- 1497803084
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jodi Leslie, President(406) 728-1413
- License
- 960 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1275 Big Flat Rd
Missoula, MT 59804-9217
Phone: (406) 728-1413
Approximate (ZIP-level) locationGet directions
Mailing address
1275 Big Flat Rd
Missoula, MT 59804-9217
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.