Shine Integrative Therapy, LLC

NPI #1578080412 in Newton, Kansas

Provider Information

NPI Number: 1578080412
Entity Type: Organization
Organization Name: Shine Integrative Therapy, LLC
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Aug 22, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1103 N MAIN ST
City: Newton
State: Kansas
ZIP Code: 67114-1837
Phone: (316) 803-1011

Authorized Official

Name: TRACY SMITH, LCMFT
Title: OWNER
Phone: (316) 803-1011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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