# STARLIGHT SPROUTS THERAPIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Starlight Sprouts Therapies, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295618601
- **Authorized official:** ROSEMARIE BAUTISTA (OWNER)
- **Authorized official phone:** (954) 932-5958

## Contact information

- **Practice address:** 7533 S CENTER VIEW CT \# 4990, WEST JORDAN, UT 84084-5526
- **Practice address phone:** (954) 932-5958
- **Mailing address:** 8767 HEADLEY DR, STERLING HEIGHTS, MI 48314-2661
- **Mailing address phone:** (954) 932-5958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/31/2025
- **Last updated:** 08/04/2025