Provider Demographics
NPI:1821976713
Name:SHINE BEHAVIORAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:SHINE BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:ASTA
Authorized Official - Last Name:PETURSSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:412-498-8747
Mailing Address - Street 1:209 CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1515
Mailing Address - Country:US
Mailing Address - Phone:412-498-8747
Mailing Address - Fax:412-483-1811
Practice Address - Street 1:2581 WASHINGTON RD STE 230J
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2564
Practice Address - Country:US
Practice Address - Phone:412-444-5186
Practice Address - Fax:412-483-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health