| Shine On Counseling Services Pllc | |
| 467 Laurel Branch Rd Vilas NC 28692-9152 | |
| (828) 964-7250 | |
| Not Available | 
| Full Name | Shine On Counseling Services Pllc | 
|---|---|
| Speciality | Psychologist | 
| Location | 467 Laurel Branch Rd, Vilas, North Carolina | 
| Authorized Official Name and Position | Leslie Erin Martin (PSYCHOLOGIST) | 
| Authorized Official Contact | 8289647250 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shine On Counseling Services Pllc 467 Laurel Branch Rd Vilas NC 28692-9152 Ph: (828) 964-7250 | Shine On Counseling Services Pllc 467 Laurel Branch Rd Vilas NC 28692-9152 Ph: (828) 964-7250 | 
| NPI Number | 1487467023 | 
|---|---|
| Provider Enumeration Date | 01/28/2025 | 
| Last Update Date | 01/28/2025 | 
| Certification Date | 01/28/2025 | 
| Medicare PECOS PAC ID | 1951827971 | 
|---|---|
| Medicare Enrollment ID | O20250502000064 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487467023 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary | 
| Provider Name | Leslie Erin Martin | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1184437857 PECOS PAC ID: 2860918885 Enrollment ID: I20250502000093 | 
| Apex Video Productions Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 749 White Oak Rd, Vilas, NC 28692 Phone: 828-222-7035 | |
| Hollyhock Counseling And Assessment Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 Laurel Branch Rd, Vilas, NC 28692 Phone: 828-212-8220 |