| Sunrise Children's Services, Inc. | |
|
300 Hope Street Mt. Washington KY 40047 | |
| (502) 538-1000 | |
| (502) 538-1100 |
| Full Name | Sunrise Children's Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 300 Hope Street, Mt. Washington, Kentucky |
| Authorized Official Name and Position | Sharon C' De Baca (EXECUTIVE ASSISTANT TO PRESIDENT) |
| Authorized Official Contact | 5025381010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Children's Services, Inc. Po Box 1429 Mt Washington KY 40047-1429 Ph: (502) 538-1000 | Sunrise Children's Services, Inc. 300 Hope Street Mt. Washington KY 40047 Ph: (502) 538-1000 |
| NPI Number | 1992820849 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992820849 | NPI | - | NPPES |
| 7100326270 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |