Healthcare Provider Details

I. General information

NPI: 1811750862
Provider Name (Legal Business Name): SUNRISE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HARTWELL ST STE 300
FALL RIVER MA
02721-3019
US

IV. Provider business mailing address

17 SIMPSON LN
ASSONET MA
02702-1407
US

V. Phone/Fax

Practice location:
  • Phone: 774-257-6565
  • Fax: 774-257-6585
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMY L MCINTOSH
Title or Position: LMHC/ OWNER
Credential: LMHC
Phone: 774-257-6565