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Organization

SOUL SHINE MENTAL HEALTH THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. COURTNEY B SZABO LISW (OWNER)
(440) 823-1924
Entity
Organization

Contact information

Practice address
11937 DUNHAM RD, SAGAMORE HILLS, OH 44067-1015
(440) 823-1924
Mailing address
PO BOX 670702, NORTHFIELD, OH 44067-0702
(440) 823-1924

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0261928
OH
Enumeration date
08/24/2020
Last updated
06/02/2021
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