Provider Demographics
NPI:1558726547
Name:SUNTHERAPY, INC.
Entity Type:Organization
Organization Name:SUNTHERAPY, INC.
Other - Org Name:CLOUD CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIEK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:786-285-2396
Mailing Address - Street 1:15190 SW 136TH ST
Mailing Address - Street 2:25
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-2604
Mailing Address - Country:US
Mailing Address - Phone:786-285-2396
Mailing Address - Fax:305-254-4339
Practice Address - Street 1:15190 SW 136TH ST
Practice Address - Street 2:25
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-2604
Practice Address - Country:US
Practice Address - Phone:786-285-2396
Practice Address - Fax:305-254-4339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2749106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty