Sunrise Support Services LLC
Counselor, Mental Health in Kissimmee, FL. Organization (NPI-2).
NPI number1164045290
StatusActive
Last updated in NPPESAug 19, 2020
Details
- NPI
- 1164045290
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunrise Support Services LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2020
- Certification date
- Aug 19, 2020
- Last updated
- Aug 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
241 Ruby Ave Ste 201Kissimmee, FL 34741-5627
Phone 407-205-8103 · Fax 321-900-0611
Mailing address
241 Ruby Ave Ste 201Kissimmee, FL 34741-5627
Phone 407-205-8103 · Fax 321-900-0611
Authorized official
Tamara A Rosario
Owner
4072058103
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