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Organization

SHINE BRIGHT BEHAVIORAL HEALTH, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAYRENE VICTORIANO (CONSULTANT)
(725) 400-1888
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
03/02/2021
Last updated
03/02/2021
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