SHINE BRIGHT FAMILY SERVICES


Address: 3348 Peachtree Road Ne, Suite 700, Atlanta, GA 30326
Phone: 4058222262

SHINE BRIGHT FAMILY SERVICES (NPI# 1356797344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356797344
Entity Type Organization
Organization Name SHINE BRIGHT FAMILY SERVICES
Practice Address 3348 Peachtree Road Ne
Suite 700
Atlanta
GA 30326
Mailing Address 1205 S. Air Depot
Suite 317
Midwest City
OK 73110
Practice Telephone 4058222262
Practice Fax Number 8005444072
Mailing Telephone 4058222262
Enumeration Date 2016-05-09
Last Update Date 2019-08-01
Authorized Official Name SHAUNICA CARMELL BYRD (OWNER/CEO)
Authorized Official Telephone 4058222262
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6039 OK Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376101659 Shine Bright Family Services Counselor 3348 Peachtree Rd Ne, Atlanta, GA 30326 2019-06-03

Office Location

Street Address 3348 PEACHTREE ROAD NE
SUITE 700
City ATLANTA
State GA
Zip Code 30326

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1598371304 Nissa Christina White Counselor 3520 Piedmont Rd Ne Ste 300, Atlanta, GA 30305-1512 2020-09-17
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1023621653 Lindsey Hutchins Counselor 55 Mcdonough Blvd Se, Atlanta, GA 30315-2316 2020-08-24
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Competitor

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City ATLANTA
Zip Code 30326

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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