MEDICARE: SUNRISE COUNSELING AND WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1881540516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE COUNSELING AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	5455 N UNION BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2077
Country	:	US
Telephone Number	:	719-308-5450
Fax Number	:

Provider Business Practice Location Address
First Line	:	5373 N UNION BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2073
Country	:	US
Telephone Number	:	719-308-5450
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	DAWN D MUNROE
Credential	:
Telephone Number	:	719-419-2401

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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