Provider Demographics
NPI:1871251009
Name:SHINE BRIGHT COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:SHINE BRIGHT COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHR
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:214-649-8986
Mailing Address - Street 1:5647 BENT CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-2618
Mailing Address - Country:US
Mailing Address - Phone:214-649-8986
Mailing Address - Fax:
Practice Address - Street 1:5647 BENT CREEK TRL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-2618
Practice Address - Country:US
Practice Address - Phone:214-649-8986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-05
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health