SUNRISE COUSELING SERVICES LLC (NPI# 1780191114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780191114 |
| Entity Type | Organization |
| Organization Name | SUNRISE COUSELING SERVICES LLC |
| Practice Address |
130 Hillcrest Dr Ste 204 Clarksville TN 37043-5083 |
| Practice Telephone | 9314946803 |
| Practice Fax Number | 8883323984 |
| Mailing Telephone | 9314946803 |
| Mailing Fax Number | 8883323984 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | MRS. JACQUELINE CARLISLE-BERKLEY (OWNER/THERAPIST) |
| Authorized Official Telephone | 9314946803 |
| Authorized Official Credential | LPC-MHSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3208 | TN | Behavioral Health & Social Service Providers |
| Street Address |
130 HILLCREST DR STE 204 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-5083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677307 | Samantha Kate Wacenske | Counselor | 1925 Ashland City Rd Apt 1422, Clarksville, TN 37043-1610 | 2020-10-22 |
| 1356948509 | Meagan H Jones | Counselor | 3328 Mallard Dr, Clarksville, TN 37042-4754 | 2020-10-01 |
| 1437665718 | Sunny E Wells | Counselor | 298 Warfield Blvd Ste B, Clarksville, TN 37043-1828 | 2017-12-21 |
| 1134633241 | Tonia Mechelle Goodrich | Counselor | 1316 Jared Ray Dr, Clarksville, TN 37042-6773 | 2017-11-28 |
| 1295276566 | Teresa Logan Harrison | Counselor | 1854 Memorial Dr, Clarksville, TN 37043-4603 | 2017-03-20 |
| 1720529399 | Kathleen Ferrara Lombardo | Counselor | 13766 Brighton Dam Rd, Clarksville, MD 21029-1334 | 2017-03-16 |
| 1750775367 | Mildred Sue Dukic | Counselor | 512 Madison St, 3, Clarksville, TN 37040-3671 | 2015-03-20 |
| 1326343633 | Bridget M. Williams | Counselor | 775 Weatherly Drive, F, Clarksville, TN 37043 | 2011-01-18 |
| 1609005990 | Vannessa Collier | Counselor | 231 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8858 | 2009-07-08 |
| 1376785402 | Adelaida Campbell | Counselor | 2515 Wilma Rudolph Blvd, Suite 103, Clarksville, TN 37040-5844 | 2009-04-03 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on SUNRISE COUSELING 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.