Healthcare Provider Details

I. General information

NPI: 1770415093
Provider Name (Legal Business Name): SHINE NOW PSYCHIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 N WOODLAND DR STE B
LANCASTER SC
29720-1966
US

IV. Provider business mailing address

1002 N WOODLAND DR STE B
LANCASTER SC
29720-1966
US

V. Phone/Fax

Practice location:
  • Phone: 803-866-3555
  • Fax: 803-373-8917
Mailing address:
  • Phone: 803-866-3555
  • Fax: 803-373-8917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MELISSA W. PATE
Title or Position: OWNER
Credential: MSN, PMHNP
Phone: 803-416-2672