| Shine A Light Family Therapy, Inc. | |
|
70 Penny Ln Ste D Watsonville CA 95076-6020 | |
| (831) 222-0111 | |
| (831) 417-0443 |
| Full Name | Shine A Light Family Therapy, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 70 Penny Ln Ste D, Watsonville, California |
| Authorized Official Name and Position | Timothy Vincent Hartnett (PRESIDENT) |
| Authorized Official Contact | 8312220111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine A Light Family Therapy, Inc. 70 Penny Ln Ste D Watsonville CA 95076-6020 Ph: (831) 222-0111 | Shine A Light Family Therapy, Inc. 70 Penny Ln Ste D Watsonville CA 95076-6020 Ph: (831) 222-0111 |
| NPI Number | 1801755772 |
|---|---|
| Provider Enumeration Date | 01/16/2026 |
| Last Update Date | 01/16/2026 |
| Certification Date | 01/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801755772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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