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General NPI Number Information
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NPI Number | 1164336749
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Entity Type | Organization
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Legal Business Name | SHINE BEHAVIORAL HEALTH & WELLNESS
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 3219 LANDMARK ST BLDG 6
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City | GREENVILLE
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State | NC
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Zip | 27834-7688
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Country | US
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Telephone | 914-882-2470
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Fax |
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Provider Business Mailing Address
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Address Line | 3733 ASHCROFT DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-9586
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Country | US
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Telephone | 914-882-2470
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LASHAUNDA A GILBERT
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Credential | LCSW-A
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Telephone | 914-882-2470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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