| Shining Star Therapy Llc | |
|
56 Sheraton Dr Ste 200 Greensburg PA 15601-7555 | |
| (724) 875-4946 | |
| (724) 420-5732 |
| Full Name | Shining Star Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 56 Sheraton Dr Ste 200, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Susanne Miller Diemert (OWNER) |
| Authorized Official Contact | 7248754946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Star Therapy Llc 123 Flour Bag Fort Ln Claridge PA 15623-1938 Ph: (724) 875-4946 | Shining Star Therapy Llc 56 Sheraton Dr Ste 200 Greensburg PA 15601-7555 Ph: (724) 875-4946 |
| NPI Number | 1689182875 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689182875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CW017704 (Pennsylvania) | Primary |
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