SHINING LIGHT COUNSELING NPI 1629433297

NPI Information

NPI: 1629433297
Provider Name: SHINING LIGHT COUNSELING
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
:
Address: 15930 US HIGHWAY 441 STE D
EUSTIS, FL
ZIP 32726
Phone: (352) 978-6687

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NPI Details

SHINING LIGHT COUNSELING is a mental health counselor in Eustis, FL. SHINING LIGHT COUNSELING NPI is 1629433297. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

15930 US HIGHWAY 441 STE D
EUSTIS, FL
ZIP 32726-552
Phone: (352) 978-6687
Fax: (352) 240-1066

The provider's authorized official is Bruce Barbre .
The authorized official title is Office Manager and has the following contact phone number (407) 256-4260.

The enumeration date for this NPI number is 12/23/2015 and was last updated on 10/14/2025.

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
1	101YM0800X	Counselor	Mental Health	MH13825	FLORIDA	No
2	1041C0700X	Social Worker	Clinical			No
3	106H00000X	Marriage & Family Therapist				No
4	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016389301	MEDICAID	FLORIDA
2	016389300	MEDICAID	FLORIDA

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: 11/21/2025

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