| Sunrise Solutions | |
|
11650 S State St Ste 104 Draper UT 84020-7144 | |
| (801) 867-3472 | |
| (801) 401-7850 |
| Full Name | Sunrise Solutions |
|---|---|
| Speciality | Social Worker |
| Location | 11650 S State St Ste 104, Draper, Utah |
| Authorized Official Name and Position | Karen Madsen (ADMINISTRATIVE OFFICE MANAGER) |
| Authorized Official Contact | 8018673472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Solutions 11650 S State St Ste 104 Draper UT 84020-7144 Ph: (801) 867-3472 | Sunrise Solutions 11650 S State St Ste 104 Draper UT 84020-7144 Ph: (801) 867-3472 |
| NPI Number | 1598112385 |
|---|---|
| Provider Enumeration Date | 05/21/2016 |
| Last Update Date | 11/17/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 9537541875 |
|---|---|
| Medicare Enrollment ID | O20220802003184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598112385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5546112-3501 (Utah) | Primary |
| Provider Name | Gayle T Wyner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497194906 PECOS PAC ID: 7012238801 Enrollment ID: I20150604002292 |
| Provider Name | Jesse Alexander Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659986099 PECOS PAC ID: 5395198832 Enrollment ID: I20240131002609 |
| Provider Name | Tari Lea Henson-romero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083912448 PECOS PAC ID: 6406294768 Enrollment ID: I20240404003853 |
| Provider Name | Bonnie J Adams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659789808 PECOS PAC ID: 4183062193 Enrollment ID: I20240409003726 |
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