# SHINE BRIGHT BEHAVIORAL HEALTH, L.L.C.

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

## Provider details

- **NPI number:** 1639764541
- **Authorized official:** FAYRENE VICTORIANO (CONSULTANT)
- **Authorized official phone:** (725) 400-1888

## Contact information

- **Practice address:** 5020 ALTA DR STE D, LAS VEGAS, NV 89107-3940
- **Practice address phone:** (725) 400-1888
- **Mailing address:** 800 N RAINBOW BLVD STE 130, LAS VEGAS, NV 89107-1190
- **Mailing address phone:** (702) 374-6792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 03/02/2021