Healthcare Provider Details

I. General information

NPI: 1740914613
Provider Name (Legal Business Name): SUNSHINE FAMILY PSYCH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 08/08/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4388 COMMERCIAL WAY
SPRING HILL FL
34606-1965
US

IV. Provider business mailing address

4388 COMMERCIAL WAY
SPRING HILL FL
34606-1965
US

V. Phone/Fax

Practice location:
  • Phone: 727-278-6445
  • Fax: 813-762-1388
Mailing address:
  • Phone: 727-278-6445
  • Fax: 813-762-1388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY MARIE HYMILLER
Title or Position: OWNER/ ARNP
Credential: MSN, ARNP, FNP-C
Phone: 727-278-6445