Shine The Light, Inc. in Chesapeake - Community/behavioral Health
Shine The Light, Inc. - NPI 1063694008
Shine The Light, Inc. is a Community/behavioral Health in Chesapeake, Virginia. Shine The Light, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Shine The Light, Inc. is 1063694008. The last update date is 2007-12-01.
Shine The Light, Inc.'s current location address is 2107 Seastone Trce, Chesapeake, Virginia. You can contact this provider via phone number 7576735255 and fax number 7572719116. The mailing address for Shine The Light, Inc. is 2107 Seastone Trce, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shine The Light, Inc. |
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Address | 2107 Seastone Trce, Chesapeake, Virginia |
Phone Number | 7576735255 |
Fax Number | 7572719116 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Coleman L Claude |
Credentials | MD |
Telephone Number | 7576735255 |
NPI Number Detail
NPI Number | 1063694008 |
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Provider Enumeration Date | 2007-12-01 |
Last Updated Date | 2007-12-01 |
Provider Mailing Address Detail
Address | 2107 Seastone Trce |
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City | Chesapeake |
State | Virginia (VA) |
Post Code | 233213768 |
Phone Number | 7576735255 |
Fax Number | 7572719116 |
Provider's Primary Taxonomy Detail
Speciality | Community/behavioral Health |
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Taxonomy | 251S00000X |
Licence No | 51223 |
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique identifier code issued to Shine The Light, Inc. by the Centers for Medicare & Medicaid Services?
The Shine The Light, Inc. has been assigned the NPI (National Provider Identifier) 1063694008. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shine The Light, Inc.'s physical address?
The Shine The Light, Inc. is physically located at 2107 Seastone Trce, in the city of Chesapeake, VA, with the postal code 233213768.
What is Shine The Light, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shine The Light, Inc. is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the Shine The Light, Inc. receive its 1063694008 assignment from the Centers for Medicare & Medicaid Services?
The Shine The Light, Inc. was assigned its 1063694008 by the Centers for Medicare & Medicaid Services on 2007-12-01.
When was the information regarding Shine The Light, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shine The Light, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-01.
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