| Rising Sun Counseling Services Llc | |
|
54 Ridgewood Way Burlington NJ 08016-4266 | |
| (609) 902-0636 | |
| (609) 474-6763 |
| Full Name | Rising Sun Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 54 Ridgewood Way, Burlington, New Jersey |
| Authorized Official Name and Position | Julie Deluccy (SOLE OWNER) |
| Authorized Official Contact | 6099020636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Sun Counseling Services Llc 54 Ridgewood Way Burlington NJ 08016-4266 Ph: (609) 902-0636 | Rising Sun Counseling Services Llc 54 Ridgewood Way Burlington NJ 08016-4266 Ph: (609) 902-0636 |
| NPI Number | 1396299533 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Medicare PECOS PAC ID | 8628364320 |
|---|---|
| Medicare Enrollment ID | O20160907000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396299533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Julie Deluccy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699948554 PECOS PAC ID: 8426213448 Enrollment ID: I20120626000020 |
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