Organization Name: | SUNSHINE MENTAL HEALTH COUNSELING SERVICE, LLC |
NPI Number: | 1013277680 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE HORTON RELIFORD (OWNER/THERAPIST) |
Mailing Address: | 2800 Youree Dr Bldg B Suite 426 Shreveport |
State: | LA US |
Postal Code: | 711043661 |
Phone Number: | 3186174385 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2012 |
NPI Last Update Date: | 05/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |