Provider Demographics
NPI:1346658895
Name:SHINING REFLECTIONS
Entity Type:Organization
Organization Name:SHINING REFLECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:VOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-385-7000
Mailing Address - Street 1:509 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-3022
Mailing Address - Country:US
Mailing Address - Phone:330-385-7000
Mailing Address - Fax:330-385-2008
Practice Address - Street 1:509 MARKET ST
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-3022
Practice Address - Country:US
Practice Address - Phone:330-385-7000
Practice Address - Fax:330-385-2008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health