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Organization
SHINING LIGHT THERAPY, LLC
Active
Organization
SHINING LIGHT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA TABAK (PRACTICE OWNER)
(303) 565-5625
Entity
Organization
Contact information
Practice address
770 W HAMPDEN AVE, ENGLEWOOD, CO 80110-2121
(303) 565-5625
Mailing address
770 W HAMPDEN AVE, ENGLEWOOD, CO 80110-2121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
02/13/2026
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