Provider Demographics
NPI:1689896789
Name:SONRISE BUSINESS SERVICES INC
Entity Type:Organization
Organization Name:SONRISE BUSINESS SERVICES INC
Other - Org Name:SONRISE CHRISTIAN COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:LOUJOHN
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-830-8299
Mailing Address - Street 1:5540 E BROADWAY RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1440
Mailing Address - Country:US
Mailing Address - Phone:480-830-8299
Mailing Address - Fax:480-830-1820
Practice Address - Street 1:5540 E BROADWAY RD
Practice Address - Street 2:SUITE 13
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-1440
Practice Address - Country:US
Practice Address - Phone:480-830-8299
Practice Address - Fax:480-830-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2009-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC 1448101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty