# STARLIGHT CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801764394
- **Authorized official:** BURGUNDY JOHNSON DO (PSYCHIATRIST)
- **Authorized official phone:** (319) 212-8116

## Contact information

- **Practice address:** 6701 CORPORATE DR \# 4251, JOHNSTON, IA 50131-1659
- **Practice address phone:** (319) 212-8116
- **Mailing address:** 6701 CORPORATE DR \# 4251, JOHNSTON, IA 50131-1659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2025
- **Last updated:** 11/04/2025