| Streetlightusa, Inc. | |
|
6805 N 81st Ave Glendale AZ 85303-2807 | |
| (623) 435-0900 | |
| Not Available |
| Full Name | Streetlightusa, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6805 N 81st Ave, Glendale, Arizona |
| Authorized Official Name and Position | Skye Steele (CEO) |
| Authorized Official Contact | 6234350900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Streetlightusa, Inc. 8380 W Emile Zola Ave # 6178 Peoria AZ 85381-9998 Ph: (623) 435-0900 | Streetlightusa, Inc. 6805 N 81st Ave Glendale AZ 85303-2807 Ph: (623) 435-0900 |
| NPI Number | 1619574134 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Certification Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619574134 | NPI | - | NPPES |
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