Provider Demographics
NPI:1013277680
Name:SUNSHINE MENTAL HEALTH COUNSELING SERVICE, LLC
Entity type:Organization
Organization Name:SUNSHINE MENTAL HEALTH COUNSELING SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:HORTON
Authorized Official - Last Name:RELIFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LMFT,NCC,BCC
Authorized Official - Phone:318-617-4385
Mailing Address - Street 1:2800 YOUREE DR
Mailing Address - Street 2:BLDG B SUITE 426
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-3661
Mailing Address - Country:US
Mailing Address - Phone:318-617-4385
Mailing Address - Fax:
Practice Address - Street 1:2800 YOUREE DR
Practice Address - Street 2:BLDG B SUITE 426
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3661
Practice Address - Country:US
Practice Address - Phone:318-617-4385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2575101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty