| Sunrise Therapy, Llc | |
|
604 Talmadge Lane Canton GA 30115 | |
| (770) 289-7113 | |
| Not Available |
| Full Name | Sunrise Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 604 Talmadge Lane, Canton, Georgia |
| Authorized Official Name and Position | Allison R Cordts (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 7702897113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Therapy, Llc 604 Talmadge Lane Canton GA 30115 Ph: (770) 289-7113 | Sunrise Therapy, Llc 604 Talmadge Lane Canton GA 30115 Ph: (770) 289-7113 |
| NPI Number | 1669869863 |
|---|---|
| Provider Enumeration Date | 04/25/2015 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669869863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | LPC008069 (Georgia) | Secondary |
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