# SHINE PSYCHOTHERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lighthouse Psychotherapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417661380
- **Authorized official:** EUI KIM LMFT (CEO)
- **Authorized official phone:** (424) 234-2924

## Contact information

- **Practice address:** 5300 TOWN AND COUNTRY BLVD STE 240, FRISCO, TX 75034-6894
- **Practice address phone:** (657) 377-5522
- **Mailing address:** 3813 CROMWELL DR, CARROLLTON, TX 75007-2852
- **Mailing address phone:** (657) 377-5522
- **Mailing address fax:** (801) 807-0327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2023
- **Last updated:** 01/05/2023