Healthcare Provider Details

I. General information

NPI: 1629901723
Provider Name (Legal Business Name): SUNRISE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1546 PLEASANT GROVE CHAPPARAL RD
WAYNESBORO MS
39367-7441
US

IV. Provider business mailing address

1546 PLEASANT GROVE CHAPPARAL RD
WAYNESBORO MS
39367-7441
US

V. Phone/Fax

Practice location:
  • Phone: 601-274-5580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHARSIE DUVALL
Title or Position: OWNER
Credential: LPC-S
Phone: 601-274-5580