Provider Demographics
NPI:1598423956
Name:SUNSTONE PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:SUNSTONE PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMHC
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURILIO
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:509-572-9329
Mailing Address - Street 1:PO BOX 7141
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-0615
Mailing Address - Country:US
Mailing Address - Phone:509-735-6616
Mailing Address - Fax:509-735-6181
Practice Address - Street 1:401 N MORAIN ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2639
Practice Address - Country:US
Practice Address - Phone:509-735-6616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty