| Sunrise Counseling Services | |
|
100 Great Oaks Blvd Ste 117a Albany NY 12203-7925 | |
| (914) 475-1405 | |
| (518) 438-0382 |
| Full Name | Sunrise Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 100 Great Oaks Blvd Ste 117a, Albany, New York |
| Authorized Official Name and Position | Joann Mazzocchi-fleitz (OWNER) |
| Authorized Official Contact | 9144751405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Counseling Services 100 Great Oaks Blvd Ste 117a Albany NY 12203-7925 Ph: (914) 475-1405 | Sunrise Counseling Services 100 Great Oaks Blvd Ste 117a Albany NY 12203-7925 Ph: (914) 475-1405 |
| NPI Number | 1871288274 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 3971949652 |
|---|---|
| Medicare Enrollment ID | O20240316000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871288274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joann Mazzocchi-fleitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851540991 PECOS PAC ID: 2365881729 Enrollment ID: I20240417003619 |
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