Organization
J&J SHINE CORP
Active
Organization
J&J SHINE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL STALLWORTH LMHC (PRESIDENT)
(941) 822-8174
Entity
Organization
Contact information
Practice address
8051 N. TAMIAMI TRAIL, SUITE E2, BOX 37, SARASOTA, FL 34243
(941) 822-8174
(941) 822-8174
Mailing address
8051 N. TAMIAMI TRAIL, SUITE E2, BOX 37, SARASOTA, FL 34243
(941) 822-8174
(941) 822-8174
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH12905
FL
Other
Enumeration date
02/29/2016
Last updated
07/21/2022
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