Soul Shine Mental Health Therapy, LLC
Organization Active NPI Community/Behavioral Health Agency · Sagamore Hills, OH
NPI 1053923771 · NPPES record last updated Jun 2, 2021
Key facts
- NPI
- 1053923771
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- SOUL SHINE MENTAL HEALTH THERAPY, LLC
- Practice address
- 11937 Dunham Rd
Sagamore Hills, OH 44067-1015 - Phone
- (440) 823-1924
- NPI assigned
- Aug 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Courtney B Szabo, LISW
- Title
- Owner
- Phone
- (440) 823-1924
Practitioners 1
-
Courtney Belle Szabo, LISW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
11937 Dunham Rd
Sagamore Hills, OH 44067-1015
Mailing address
PO Box 670702
Northfield, OH 44067-0702
Phone (440) 823-1924
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0261928 | Medicaid | OH |
Other providers in Sagamore Hills, OH
- Sue Robin Scanlon
- Wayne H, Sevier
- Tyler Simmons-Eakin
- Diane Marie Smith
- Beth Ann Sommers
- Robin Spangler
- Courtney Belle Szabo
- Thomas W Inwood DPM Inc
- Thomas W. Inwood DPM Inc
- Rosemary Tufts
All providers in Sagamore Hills, OH · Community/Behavioral Health Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.