Organization
SOULSHINE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZA DIANE CLONTZ LPCC LCADC CSS CCS (OWNER/THERAPIST)
(502) 230-7767
Entity
Organization
Contact information
Practice address
119 SOLOMON JAMES LN, LONDON, KY 40744-8192
(502) 230-7767
Mailing address
119 SOLOMON JAMES LN, LONDON, KY 40744-8192
(502) 230-7767
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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