Provider Demographics
NPI:1811472954
Name:SUNSHINE COUNSELING LLC
Entity type:Organization
Organization Name:SUNSHINE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CULLATY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:760-215-5308
Mailing Address - Street 1:1866 LORETO GLN
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-1072
Mailing Address - Country:US
Mailing Address - Phone:760-215-5308
Mailing Address - Fax:
Practice Address - Street 1:810 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3402
Practice Address - Country:US
Practice Address - Phone:760-215-5308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health