| Sunrise Counseling Service | |
|
2010 Desert Ave Ne Rio Rancho NM 87144-2652 | |
| (505) 891-1001 | |
| Not Available |
| Full Name | Sunrise Counseling Service |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2010 Desert Ave Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Sharon A Lamoree-lukasavage (OFFICE CLINICIAN) |
| Authorized Official Contact | 5058911001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Counseling Service Po Box 3566 Moriarty NM 87035-3566 Ph: (505) 891-1001 | Sunrise Counseling Service 2010 Desert Ave Ne Rio Rancho NM 87144-2652 Ph: (505) 891-1001 |
| NPI Number | 1669853339 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 7113397332 |
|---|---|
| Medicare Enrollment ID | O20230105000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669853339 | NPI | - | NPPES |
| 00097325 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I 2081 (New Mexico) | Primary |
| Provider Name | Frank P Lukasavage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013002302 PECOS PAC ID: 0446620520 Enrollment ID: I20230106000076 |
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