# SHORELINE MENTAL HEALTH SERVICES LLC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598341794
- **Authorized official:** MONICA FABIANA BIANCOSPINO (OWNER)
- **Authorized official phone:** (786) 382-1877

## Contact information

- **Practice address:** 6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
- **Practice address phone:** (786) 382-1877
- **Mailing address:** 6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
- **Mailing address phone:** (305) 317-2258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2021
- **Last updated:** 08/02/2022