Provider Demographics
NPI:1992533640
Name:SHINE ON COUNSELING
Entity type:Organization
Organization Name:SHINE ON COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT-ASSOCIATE
Authorized Official - Phone:682-302-5243
Mailing Address - Street 1:407 OLD SPRINGTOWN RD
Mailing Address - Street 2:STE 112 PM 107
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082
Mailing Address - Country:US
Mailing Address - Phone:682-302-5243
Mailing Address - Fax:
Practice Address - Street 1:157 CLAYTON XING
Practice Address - Street 2:
Practice Address - City:SPRINGTOWN
Practice Address - State:TX
Practice Address - Zip Code:76082-2503
Practice Address - Country:US
Practice Address - Phone:682-302-5243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health