Healthcare Provider Details

I. General information

NPI: 1629854880
Provider Name (Legal Business Name): RISING SUN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 UNION LAKE RD STE B
COMMERCE TOWNSHIP MI
48382-4501
US

IV. Provider business mailing address

3133 UNION LAKE RD STE B
COMMERCE TOWNSHIP MI
48382-4501
US

V. Phone/Fax

Practice location:
  • Phone: 248-462-6530
  • Fax: 248-694-0917
Mailing address:
  • Phone: 248-462-6530
  • Fax: 248-694-0917

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: MR. JORDAN RAY
Title or Position: OWNER
Credential: LPC
Phone: 248-462-6530