Provider Demographics
NPI:1033538681
Name:SOARING SUNS INC
Entity Type:Organization
Organization Name:SOARING SUNS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:206-384-7161
Mailing Address - Street 1:7286 EAGLE HARBOR DR NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-3106
Mailing Address - Country:US
Mailing Address - Phone:206-384-7161
Mailing Address - Fax:
Practice Address - Street 1:785 ERICKSEN AVE NE
Practice Address - Street 2:SUITE 119
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1875
Practice Address - Country:US
Practice Address - Phone:206-384-7161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602942934101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty