Provider Demographics
NPI:1396157137
Name:SUNSHINE COUNSELING SERVICE
Entity type:Organization
Organization Name:SUNSHINE COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-692-1020
Mailing Address - Street 1:3606 ENTERPRISE AVE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-3670
Mailing Address - Country:US
Mailing Address - Phone:239-692-1020
Mailing Address - Fax:
Practice Address - Street 1:3606 ENTERPRISE AVE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-3670
Practice Address - Country:US
Practice Address - Phone:239-692-1020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health