Healthcare Provider Details

I. General information

NPI: 1184231789
Provider Name (Legal Business Name): SUNBRIGHT COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2935 E MAIN ST #91347
COLUMBUS OH
43209
US

IV. Provider business mailing address

PO BOX 91347
BEXLEY OH
43209-7347
US

V. Phone/Fax

Practice location:
  • Phone: 614-402-7417
  • Fax:
Mailing address:
  • Phone: 614-402-7417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: BENNETTI G. MALONE
Title or Position: MENTAL HEALTH THERAPIST
Credential: MSED., LPCC, LICDC
Phone: 614-402-7417