Healthcare Provider Details

I. General information

NPI: 1164339537
Provider Name (Legal Business Name): SUNNY ERA WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8512 GRAND ASPEN WAY
RIVERVIEW FL
33578-8410
US

IV. Provider business mailing address

8512 GRAND ASPEN WAY
RIVERVIEW FL
33578-8410
US

V. Phone/Fax

Practice location:
  • Phone: 707-799-3549
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ARIKA KOESLING
Title or Position: OWNER
Credential: OTR/L
Phone: 707-799-3549