| Shine Therapy Pllc | |
|
308 N Lincoln Ave Sterling VA 20164-2526 | |
| (571) 217-0986 | |
| Not Available |
| Full Name | Shine Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 308 N Lincoln Ave, Sterling, Virginia |
| Authorized Official Name and Position | Kelly Headley (OWNER) |
| Authorized Official Contact | 5712170986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Therapy Pllc 308 N Lincoln Ave Sterling VA 20164-2526 Ph: (571) 217-0986 | Shine Therapy Pllc 308 N Lincoln Ave Sterling VA 20164-2526 Ph: (571) 217-0986 |
| NPI Number | 1144103110 |
|---|---|
| Provider Enumeration Date | 07/28/2025 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144103110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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