Shine Counseling, Pllc

LBN: Shine Counseling, Pllc
Shine Counseling, Pllc is an health care organization with primary practice located at 1931 J N Pease Pl Ste 104 , Charlotte NC 28262-4540. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty. Shine Counseling, Pllc can be contacted via phone (704) 734-9480, or through Parker, Kimberly via phone (704) 548-1328.

Contact Information

Primary practice address
1931 J N Pease Pl Ste 104 Charlotte NC 28262-4540
Phone: (704) 734-9480
Fax: (844) 786-5796
Website:
Map and Directions
Authorized official contact:
Name: Parker, Kimberly Licensed Clinical Social Worker (LCSW)
Phone: (704) 548-1328

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1871066019
LBN Legal business name Shine Counseling, Pllc
DBA Doing business as
Authorized official Parker, Kimberly Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2019
Last updated Aug 20th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871066019 NPPES
North Carolina MEDICAID 1041C0700X

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