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SHINE HEALTHCARE GROUP LLC
NPI 1790471506
Counselor - Mental Health in Fort Washington, PA

Active since April 14, 2023
500 W OFFICE CENTER DR, STE400, FORT WASHINGTON, PA 19034(470) 870-2404 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shine Healthcare Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINE HEALTHCARE GROUP LLC (NPI 1790471506) is a healthcare organization registered as a mental health in Fort Washington, Pennsylvania and active in the NPI registry since April 2023. The organization lists Jasmin L Booker, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1790471506
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSHINE HEALTHCARE GROUP LLC
Location Address500 W OFFICE CENTER DR, STE400Fort Washington, PA 19034
Mailing Address3631 Chamblee Tucker Rd Ste A288Atlanta, GA 30341-4415
Phone(470) 870-2404
Organization SubpartNo
Authorized OfficialJasmin L BookerChief Operating Officer · (470) 870-2404
Enumeration DateApril 14, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1790471506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
500 W OFFICE CENTER DR, Fort Washington, PA 19034
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA KARNAVAS BCBA, MS, LBS
Behavior Analyst
500 W OFFICE CENTER DR, #100
FORT WASHINGTON, PA 19034
Montgomery County (215) 540-2150
TAYLOR A DUNN
Counselor
500 W OFFICE CENTER DR
FORT WASHINGTON, PA 19034
Montgomery County (267) 885-4463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shine Healthcare Group LLC's NPI number?

The NPI number for Shine Healthcare Group LLC is 1790471506. It was assigned to this organization in the NPPES registry on April 14, 2023.

Where is Shine Healthcare Group LLC located?

Shine Healthcare Group LLC is located at 500 W Office Center Dr Ste400, Fort Washington, PA 19034. The listed phone number is (470) 870-2404.

What is Shine Healthcare Group LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shine Healthcare Group LLC was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.