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Organization
SHINE THERAPY PLLC
Active
Organization
SHINE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HEADLEY LCSW (OWNER)
(571) 217-0986
Entity
Organization
Contact information
Practice address
308 N LINCOLN AVE, STERLING, VA 20164-2526
(571) 217-0986
Mailing address
308 N LINCOLN AVE, STERLING, VA 20164-2526
(571) 217-0986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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