# SHINE HEALTHCARE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHINE HEALTHCARE GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346935020
- **Legal business name:** SHINE HEALTHCARE GROUP
- **Authorized official:** JASMIN L BOOKER (COO)
- **Authorized official phone:** (404) 491-7716

## Contact information

- **Practice address:** 424 CHURCH ST STE 2000, NASHVILLE, TN 37219-3304
- **Practice address phone:** (470) 870-2402
- **Practice address fax:** (404) 393-3441
- **Mailing address:** 3631 CHAMBLEE TUCKER RD STE A288, ATLANTA, GA 30341-4415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2023
- **Last updated:** 04/07/2023