Healthcare Provider Details

I. General information

NPI: 1053229278
Provider Name (Legal Business Name): SUNRISE MENTAL HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

493 MAIN ST # 3
HYANNIS MA
02601-5407
US

IV. Provider business mailing address

PO BOX 26
CENTERVILLE MA
02632-0026
US

V. Phone/Fax

Practice location:
  • Phone: 508-534-8373
  • Fax:
Mailing address:
  • Phone: 508-534-8373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LISA TERRY
Title or Position: OWNER
Credential: LICSW
Phone: 508-360-0844