# SHOOTING STARS EARLY INTERVENTION AND THERAPY SERVICES LLC

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

## Provider details

- **NPI number:** 1730025420
- **Authorized official:** MARIA NELSON (MANAGING MEMBER)
- **Authorized official phone:** (803) 420-8492

## Contact information

- **Practice address:** 388 SESSIONS RD, ELGIN, SC 29045-9416
- **Practice address phone:** (803) 420-8492
- **Mailing address:** 5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
- **Mailing address phone:** (803) 420-8492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 10/09/2026
