Organization Name: | SUNSHINE COUNSELING, L.L.C. |
NPI Number: | 1013111798 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL LUCILLE SUCHLAND (FOUNDER, COUNSELOR) |
Mailing Address: | 102 Mound St Troy |
State: | MO US |
Postal Code: | 633791449 |
Phone Number: | 6362950228 |
Fax Number: | 6365284710 |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 001645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |