| Sunshine Family Psych & Wellness Llc | |
|
4388 Commercial Way Spring Hill FL 34606-1965 | |
| (727) 278-6445 | |
| (813) 762-1388 |
| Full Name | Sunshine Family Psych & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4388 Commercial Way, Spring Hill, Florida |
| Authorized Official Name and Position | Kimberly Marie Hymiller (OWNER/ ARNP) |
| Authorized Official Contact | 7272786445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Family Psych & Wellness Llc 4388 Commercial Way Spring Hill FL 34606-1965 Ph: (727) 278-6445 | Sunshine Family Psych & Wellness Llc 4388 Commercial Way Spring Hill FL 34606-1965 Ph: (727) 278-6445 |
| NPI Number | 1740914613 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 08/08/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 6204207558 |
|---|---|
| Medicare Enrollment ID | O20230124001360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740914613 | NPI | - | NPPES |
| 108744300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Kimberly Marie Hymiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447864921 PECOS PAC ID: 4385054626 Enrollment ID: I20201028000176 |
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