SUNRISE RECOVERY SERVICES, LLC (NPI# 1720644321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720644321 |
| Entity Type | Organization |
| Organization Name | SUNRISE RECOVERY SERVICES, LLC |
| Practice Address |
1375 Saint Anthony Ave Ste 202-01 Saint Paul MN 55104-4006 |
| Practice Telephone | 6515001354 |
| Mailing Telephone | 6515001354 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Authorized Official Name | GEBREMARIAM ALEM GEBREMICAEL (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Telephone | 6515001354 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1375 SAINT ANTHONY AVE STE 202-01 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1326678004 | Adrift Counseling, LLC | Clinic/Center | 1032 Grand Ave # 201, Saint Paul, MN 55105-3064 | 2020-01-22 |
| 1699249342 | Indigo Counseling Center | Clinic/Center | 2388 University Ave W # 202, Saint Paul, MN 55114-1769 | 2019-01-16 |
| 1932608916 | Pioneer Healing and Restoration Services Inc | Clinic/Center | 1885 University Ave W Ste 300a, Saint Paul, MN 55104-3462 | 2018-02-06 |
| 1467950857 | Samantha Rivera Healing Center Inc | Clinic/Center | 1032 Grand Ave Ste 202, Saint Paul, MN 55105-3064 | 2018-01-31 |
| 1851759088 | Lhc Consulting, PC | Clinic/Center | 1619 Dayton Ave Ste 325, Saint Paul, MN 55104-6206 | 2016-02-02 |
| 1659717502 | Twin Cities Center for Psychology & Wellness, LLC | Clinic/Center | 1350 Energy Ln Ste 110a, Saint Paul, MN 55108-5254 | 2013-05-20 |
| 1871879759 | Natural Connections Learning Center | Clinic/Center | 1801 Dudley Ave, Saint Paul, MN 55108-1003 | 2011-10-24 |
| 1417941063 | Center for Psychological Services for Twin Cities, Pa | Clinic/Center | 245 Ruth St N, Saint Paul, MN 55119-4323 | 2005-09-09 |
| 1831704816 | Bonnie Brae Psychotherapy LLC | Clinic/Center | 821 Raymond Ave Ste 440, Saint Paul, MN 55114-1525 | 2020-09-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on SUNRISE RECOVERY 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.