Provider Demographics
NPI:1396469458
Name:SUNSHINE FAMILY PSYCH & WELLNESS, LLC
Entity type:Organization
Organization Name:SUNSHINE FAMILY PSYCH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HYMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, ARNP, FNP-C
Authorized Official - Phone:727-278-6445
Mailing Address - Street 1:4388 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1965
Mailing Address - Country:US
Mailing Address - Phone:727-278-6445
Mailing Address - Fax:813-762-1388
Practice Address - Street 1:7646 BROOKLINE ST
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-5614
Practice Address - Country:US
Practice Address - Phone:727-278-6445
Practice Address - Fax:813-762-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health