Organization
STARLIGHT TRANSFORMATIVE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY MALLETT (CEO)
(719) 357-5546
Entity
Organization
Contact information
Practice address
4740 FLINTRIDGE DR STE 214, COLORADO SPRINGS, CO 80918-4273
(719) 357-5546
Mailing address
4740 FLINTRIDGE DR STE 214, COLORADO SPRINGS, CO 80918-4273
(719) 357-5546
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/31/2025
Last updated
02/03/2025
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