Shine Forth LLC

NPI #1528667201 in Cheyenne, Wyoming

Provider Information

NPI Number: 1528667201
Entity Type: Organization
Organization Name: Shine Forth LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 22, 2020
Last Updated: Oct 22, 2020

Practice Location

Address: 6710 WILLSHIRE BLVD
City: Cheyenne
State: Wyoming
ZIP Code: 82009-2757
Phone: (719) 248-1789

Authorized Official

Name: JUDIANN BRYANT, LPC
Title: LPC/PROVIDER
Phone: (719) 248-1789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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