| Shining Light Therapy | |
|
770 W Hampden Ave Englewood CO 80110-2121 | |
| (303) 565-5625 | |
| Not Available |
| Full Name | Shining Light Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 770 W Hampden Ave, Englewood, Colorado |
| Authorized Official Name and Position | Marissa Tabak (OWNER/LCSW) |
| Authorized Official Contact | 3035655625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Light Therapy 770 W Hampden Ave Englewood CO 80110-2121 Ph: () - | Shining Light Therapy 770 W Hampden Ave Englewood CO 80110-2121 Ph: (303) 565-5625 |
| NPI Number | 1083434534 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083434534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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