SUN-RISE LIVING BEHAVIOR HEALTH SERVICES, LLC (NPI# 1073910931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073910931 |
| Entity Type | Organization |
| Organization Name | SUN-RISE LIVING BEHAVIOR HEALTH SERVICES, LLC |
| Practice Address |
943 Cesery Blvd Ste G Jacksonville FL 32211-5655 |
| Practice Telephone | 9047450067 |
| Mailing Telephone | 9047450067 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | MR. MIGUEL MORENO COLON (OWNER) |
| Authorized Official Telephone | 9047450067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Street Address |
943 CESERY BLVD STE G |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-5655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609381 | Guardian Medical Care Pllc | Pain Medicine | 943 Cesery Blvd Ste G, Jacksonville, FL 32211-5655 | 2020-05-05 |
| 1063923225 | Jennifer Palmer | Counselor | 943 Cesery Blvd Ste G, Jacksonville, FL 32211-5655 | 2017-10-16 |
| 1326558321 | Sharon Ann Blankenship | Counselor | 943 Cesery Blvd Ste G, Jacksonville, FL 32211-5655 | 2017-10-04 |
| 1336668789 | Amaechi Leo Udenze | Counselor | 943 Cesery Blvd Ste G, Jacksonville, FL 32211-5655 | 2017-09-18 |
| 1841716594 | Shaquita Juanita Lee | Social Worker | 943 Cesery Blvd Ste G, Jacksonville, FL 32211-5655 | 2017-08-15 |
| 1063932648 | Brooks Robert Krumbach | Counselor | 943 Cesery Blvd Ste G, Jacksonville, FL 32211-5655 | 2017-06-23 |
| 1780118588 | Jamie L Simpson | Social Worker | 943 Cesery Blvd Ste G, Jacksonville, FL 32211-5655 | 2017-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164697157 | Brianne Graves | Psychologist | 3517 Peeler Rd, Unit 11, Jacksonville, FL 32277-0616 | 2008-04-29 |
| 1437605433 | Keystone By The Sea | Psychologist | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2016-08-30 |
| 1457603060 | Five S.t.a.r. Veterans Center, Inc | Psychologist | 40 Acme St, Jacksonville, FL 32211 | 2012-10-05 |
| 1245242049 | Ellen Williams | Psychologist | 4160 University Blvd S, Jacksonville, FL 32216-4317 | 2006-08-12 |
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|---|---|---|---|---|
| 1275132110 | Jasmine Medical Group - Florida, LLC | Psychologist | 10435 Riverside Dr, Palm Beach Gardens, FL 33410-4279 | 2020-10-21 |
| 1619598810 | Dickens Sanomi Corp | Psychologist | 6820 W Sunrise Blvd, Plantation, FL 33313-4570 | 2020-04-29 |
| 1679108955 | South Florida Senior Center | Psychologist | 2266 Sw 8th St, Miami, FL 33135-4929 | 2020-03-07 |
| 1609407022 | Jaqueline Mola Sanchez | Psychologist | 15141 Sw 144th Ct, Miami, FL 33186-5680 | 2020-02-04 |
| 1780224881 | Linda Bari Wohl | Psychologist | 7412 Riviera Cv, Lakewood Ranch, FL 34202-5044 | 2020-01-07 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1629620042 | Voyage Behavior Inc | Psychologist | 6411 Roosevelt St, Hollywood, FL 33024-5803 | 2019-07-15 |
| 1558826651 | Militza Saroza | Psychologist | 19901 Nw 67th Circle Ct, Hialeah, FL 33015-2418 | 2019-02-04 |
| 1508368192 | Live Oak Behavioral Health Pa | Psychologist | 341 N Maitland Ave Ste 120, Maitland, FL 32751-4761 | 2018-02-28 |
| 1952800328 | Ah Sunshineenterprises Inc | Psychologist | 6735 Conroy Rd Ste 326, Orlando, FL 32835-3568 | 2018-02-12 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
Please comment or provide details below to improve the information on SUN-RISE LIVING BEHAVIOR HEALTH SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.