Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sunshine Therapeutic Group Home LLC

Organization Community/Behavioral Health Agency · NPI 1790451839

Sunshine Therapeutic Group Home LLC is a Community/Behavioral Health Agency in Vidalia, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4907 Highway 84 W
Vidalia, LA 71373-3579
Phone: (601) 807-3833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X

Record details

NPI number1790451839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Bruce — Owner · (601) 807-3833
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address4907 Highway 84 W, Vidalia, LA 71373-3579

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