Healthcare Provider Details

I. General information

NPI: 1093662116
Provider Name (Legal Business Name): SUNSHINE MENTAL WELLNESS ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34921 US HIGHWAY 19 N STE 160
PALM HARBOR FL
34684-1969
US

IV. Provider business mailing address

34921 US HIGHWAY 19 N STE 160
PALM HARBOR FL
34684-1969
US

V. Phone/Fax

Practice location:
  • Phone: 516-331-1353
  • Fax: 833-672-3420
Mailing address:
  • Phone: 516-331-1353
  • Fax: 833-672-3420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EVAN DONIN
Title or Position: OWNER/LEAD CLINICIAN
Credential: PMHNP-BC
Phone: 516-331-1353