Sunrise Psychology, Llc | |
4113 Bridgeport Way W Ste C1 University Place WA 98466-4325 | |
(253) 987-6825 | |
(253) 590-0875 |
Full Name | Sunrise Psychology, Llc |
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Speciality | Counselor |
Location | 4113 Bridgeport Way W, University Place, Washington |
Authorized Official Name and Position | Dawn Michelle Breikss (THERAPIST / OWNER) |
Authorized Official Contact | 2539876825 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunrise Psychology, Llc 4113 Bridgeport Way W Ste C1 University Place WA 98466-4325 Ph: (253) 987-6825 | Sunrise Psychology, Llc 4113 Bridgeport Way W Ste C1 University Place WA 98466-4325 Ph: (253) 987-6825 |
NPI Number | 1205289360 |
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Provider Enumeration Date | 07/13/2016 |
Last Update Date | 11/16/2016 |
Medicare PECOS PAC ID | 3577901511 |
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Medicare Enrollment ID | O20240409004838 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205289360 | NPI | - | NPPES |
2023189 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH 60231168 (Washington) | Primary |
Provider Name | Dawn Michelle Breikss |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811138175 PECOS PAC ID: 2668810615 Enrollment ID: I20240409004868 |
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