Provider Demographics
NPI:1770304677
Name:SUNBRIGHT THERAPY LLC
Entity type:Organization
Organization Name:SUNBRIGHT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIMALIK
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:SHURIYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-785-5664
Mailing Address - Street 1:564 ASBURY ST APT E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2353
Mailing Address - Country:US
Mailing Address - Phone:651-785-5664
Mailing Address - Fax:
Practice Address - Street 1:3055 OLD HIGHWAY 8 STE 219
Practice Address - Street 2:
Practice Address - City:SAINT ANTHONY
Practice Address - State:MN
Practice Address - Zip Code:55418-2500
Practice Address - Country:US
Practice Address - Phone:651-207-7225
Practice Address - Fax:651-365-3778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency