| Starlight Clinic Pllc | |
|
6701 Corporate Dr # 4251 Johnston IA 50131-1659 | |
| (319) 212-8116 | |
| Not Available |
| Full Name | Starlight Clinic Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 6701 Corporate Dr # 4251, Johnston, Iowa |
| Authorized Official Name and Position | Burgundy Johnson (PSYCHIATRIST) |
| Authorized Official Contact | 3192128116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlight Clinic Pllc 6701 Corporate Dr # 4251 Johnston IA 50131-1659 Ph: () - | Starlight Clinic Pllc 6701 Corporate Dr # 4251 Johnston IA 50131-1659 Ph: (319) 212-8116 |
| NPI Number | 1801764394 |
|---|---|
| Provider Enumeration Date | 10/27/2025 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801764394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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