| Lightshare Behavioral Wellness And Recovery | |
|
166 Center Rd Venice FL 34285-5501 | |
| (941) 366-5333 | |
| Not Available |
| Full Name | Lightshare Behavioral Wellness And Recovery |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 166 Center Rd, Venice, Florida |
| Authorized Official Name and Position | Shawndra Robey (CEO) |
| Authorized Official Contact | 9413665333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightshare Behavioral Wellness And Recovery 4579 Northgate Ct Sarasota FL 34234-2124 Ph: (941) 366-5333 | Lightshare Behavioral Wellness And Recovery 166 Center Rd Venice FL 34285-5501 Ph: (941) 366-5333 |
| NPI Number | 1710557830 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710557830 | NPI | - | NPPES |
| 003605408 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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