Provider Demographics
NPI:1992235998
Name:SUNRISE COUNSELING & FAMILY THERAPY, LLC
Entity type:Organization
Organization Name:SUNRISE COUNSELING & FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EJIAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-563-7165
Mailing Address - Street 1:7240 CROWDER BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1922
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7240 CROWDER BLVD STE I
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1922
Practice Address - Country:US
Practice Address - Phone:504-563-7165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health