| Sunrise Mental Health Services, Llc | |
|
32 Oxford Dr Newington CT 06111-1823 | |
| (860) 201-3710 | |
| Not Available |
| Full Name | Sunrise Mental Health Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 32 Oxford Dr, Newington, Connecticut |
| Authorized Official Name and Position | Fabiana Aretusa Silva (FOUNDER) |
| Authorized Official Contact | 8602013710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Mental Health Services, Llc 900 Washington St Ste 1012 Middletown CT 06457-2932 Ph: (860) 201-3710 | Sunrise Mental Health Services, Llc 32 Oxford Dr Newington CT 06111-1823 Ph: (860) 201-3710 |
| NPI Number | 1295455459 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Medicare PECOS PAC ID | 2961855358 |
|---|---|
| Medicare Enrollment ID | O20240201002664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295455459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Fabiana Aretusa Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649880444 PECOS PAC ID: 2860807070 Enrollment ID: I20210222001898 |
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