Provider Demographics
NPI:1104372671
Name:SUNSHINE PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:SUNSHINE PSYCHOTHERAPY LLC
Other - Org Name:JENNIFER A SPINNER LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPINNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-409-0099
Mailing Address - Street 1:18434 NW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3802
Mailing Address - Country:US
Mailing Address - Phone:305-409-0099
Mailing Address - Fax:772-777-2855
Practice Address - Street 1:19620 PINES BLVD
Practice Address - Street 2:STE 217-OFFICE 03
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1301
Practice Address - Country:US
Practice Address - Phone:305-409-0099
Practice Address - Fax:772-777-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLSW4630101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7890AMedicare PIN