SHINE HEALTHCARE GROUP LLC NPI 1184491219

NPI Information

  • NPI: 1184491219
  • Provider Name: SHINE HEALTHCARE GROUP LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 353 LEXINGTON AVE FL 4
    NEW YORK, NY
    ZIP 10016
  • Phone: (866) 888-2150

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NPI Details

SHINE HEALTHCARE GROUP LLC is a mental health counselor in New York, NY. SHINE HEALTHCARE GROUP LLC NPI is 1184491219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

353 LEXINGTON AVE FL 4
NEW YORK, NY
ZIP 10016-941
Phone: (866) 888-2150

The provider's authorized official is Jasmin L Booker .
The authorized official title is Coo and has the following contact phone number (404) 491-7716.

The enumeration date for this NPI number is 12/8/2023 and was last updated on 12/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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