Provider Demographics
NPI:1427410950
Name:SUNSHINE COUNSELING, LLC
Entity Type:Organization
Organization Name:SUNSHINE COUNSELING, LLC
Other - Org Name:SUNSHINE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FOUNTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:470-715-3474
Mailing Address - Street 1:47 LAKELAND CT
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-8774
Mailing Address - Country:US
Mailing Address - Phone:678-717-7952
Mailing Address - Fax:
Practice Address - Street 1:47 LAKELAND COURT
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-8774
Practice Address - Country:US
Practice Address - Phone:470-715-3474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-23
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW005684251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health