| Sunrise Wellness | |
|
420 N 2nd Ave Sandpoint ID 83864-1565 | |
| (208) 627-6183 | |
| Not Available |
| Full Name | Sunrise Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 420 N 2nd Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Holly Carroll (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2086276183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Wellness Po Box 1854 Sandpoint ID 83864-0903 Ph: (208) 627-6183 | Sunrise Wellness 420 N 2nd Ave Sandpoint ID 83864-1565 Ph: (208) 627-6183 |
| NPI Number | 1730995820 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730995820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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