Organization · Type 2 NPI
Streetlightusa, Inc.
Mental Health Counselor · Glendale, AZ
NPI number
1619574134
Active
Practice location
6805 N 81st Ave Bldg B
Glendale, AZ 85303-2807
Mailing address
8380 W Emile Zola Ave # 6178
Peoria, AZ 85381-9998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1619574134
Streetlightusa, Inc.'s National Provider Identifier is 1619574134, issued on Oct 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, AZ. The record was last updated on Sep 19, 2025.