Healthcare Provider Details

I. General information

NPI: 1427995547
Provider Name (Legal Business Name): SUNSHINE CARE AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1566 UNION RD STE A
GASTONIA NC
28054-5301
US

IV. Provider business mailing address

1566 UNION RD STE A
GASTONIA NC
28054-5301
US

V. Phone/Fax

Practice location:
  • Phone: 864-509-8550
  • Fax:
Mailing address:
  • Phone: 864-509-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS ANDRELLICA CAMILLE MOSLEY
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 864-509-8550