Provider Demographics
NPI:1194403097
Name:SHINING LIGHT COUNSELING LLC
Entity type:Organization
Organization Name:SHINING LIGHT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:412-712-2294
Mailing Address - Street 1:2843 TALBOT ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-1690
Mailing Address - Country:US
Mailing Address - Phone:412-712-2294
Mailing Address - Fax:
Practice Address - Street 1:2843 TALBOT ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-1690
Practice Address - Country:US
Practice Address - Phone:412-712-2294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)