Provider Demographics
NPI:1427866904
Name:SUNNI BEHAVIORAL HEALTH AND DISABILITY
Entity type:Organization
Organization Name:SUNNI BEHAVIORAL HEALTH AND DISABILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNCERE
Authorized Official - Middle Name:DRIDEEN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-767-9163
Mailing Address - Street 1:102 FINCH RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27537-5715
Mailing Address - Country:US
Mailing Address - Phone:252-767-9163
Mailing Address - Fax:
Practice Address - Street 1:429 E WINDER ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-4664
Practice Address - Country:US
Practice Address - Phone:252-767-9163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health