| Soul Shine Mental Health Therapy, Llc | |
|
11937 Dunham Rd Sagamore Hills OH 44067-1015 | |
| (440) 823-1924 | |
| Not Available |
| Full Name | Soul Shine Mental Health Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11937 Dunham Rd, Sagamore Hills, Ohio |
| Authorized Official Name and Position | Courtney B Szabo (OWNER) |
| Authorized Official Contact | 4408231924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Shine Mental Health Therapy, Llc Po Box 670702 Northfield OH 44067-0702 Ph: (440) 823-1924 | Soul Shine Mental Health Therapy, Llc 11937 Dunham Rd Sagamore Hills OH 44067-1015 Ph: (440) 823-1924 |
| NPI Number | 1053923771 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 06/02/2021 |
| Certification Date | 06/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053923771 | NPI | - | NPPES |
| 0261928 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Children And Family Therapeutic Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 472 Canterbury Ln, Sagamore Hills, OH 44067 Phone: 800-424-0182 |