| Shine Healthcare Group Llc | |
|
353 Lexington Ave Fl 4 New York NY 10016-0941 | |
| (866) 888-2150 | |
| Not Available |
| Full Name | Shine Healthcare Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 353 Lexington Ave Fl 4, New York, New York |
| Authorized Official Name and Position | Jasmin L Booker (COO) |
| Authorized Official Contact | 4044917716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Healthcare Group Llc 3631 Chamblee Tucker Rd Ste A288 Atlanta GA 30341-4415 Ph: (678) 469-9526 | Shine Healthcare Group Llc 353 Lexington Ave Fl 4 New York NY 10016-0941 Ph: (866) 888-2150 |
| NPI Number | 1184491219 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184491219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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