Provider Demographics
NPI:1548576556
Name:SUNRISE COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:SUNRISE COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-LICENSED CLINICAL SOCIAL WORK
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:STYRON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-263-2938
Mailing Address - Street 1:310 SOUTH CORONADO DRIVE
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:CO
Mailing Address - Zip Code:80135-0000
Mailing Address - Country:US
Mailing Address - Phone:303-263-2938
Mailing Address - Fax:
Practice Address - Street 1:310 CORONADO DR
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:CO
Practice Address - Zip Code:80135-8301
Practice Address - Country:US
Practice Address - Phone:303-263-2938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO992503251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health