Shine Forth Llc

LBN: Shine Forth Llc
Shine Forth Llc is an health care organization with primary practice located at 6710 Willshire Blvd , Cheyenne WY 82009-2757. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Shine Forth Llc can be contacted via phone (719) 248-1789, or through Bryant, Judiann via phone (719) 248-1789.

Contact Information

Primary practice address
6710 Willshire Blvd Cheyenne WY 82009-2757
Phone: (719) 248-1789
Fax: (307) 514-1080
Website:
Map and Directions
Authorized official contact:
Name: Bryant, Judiann Licensed Professional Counselor (LPC)
Phone: (719) 248-1789

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1528667201
LBN Legal business name Shine Forth Llc
DBA Doing business as
Authorized official Bryant, Judiann Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2020
Last updated Oct 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528667201 NPPES
Wyoming MEDICAID 153780600

Popular Providers