| Shine Integrated Therapy | |
|
3035 W 25th Ave Denver CO 80211-4635 | |
| (303) 455-2409 | |
| Not Available |
| Full Name | Shine Integrated Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3035 W 25th Ave, Denver, Colorado |
| Authorized Official Name and Position | Elizabeth Anne Clark (THERAPIST) |
| Authorized Official Contact | 3034552409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Integrated Therapy 2820 Wolff St Denver CO 80212-1521 Ph: () - | Shine Integrated Therapy 3035 W 25th Ave Denver CO 80211-4635 Ph: (303) 455-2409 |
| NPI Number | 1841678836 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841678836 | NPI | - | NPPES |
| 992361 | Other | CO | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 992361 (Colorado) | Primary |
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