Healthcare Provider Details

I. General information

NPI: 1134753114
Provider Name (Legal Business Name): SUNRISE THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3433 J ST
LINCOLN NE
68510-3331
US

IV. Provider business mailing address

3433 J ST
LINCOLN NE
68510-3331
US

V. Phone/Fax

Practice location:
  • Phone: 308-746-1857
  • Fax:
Mailing address:
  • Phone: 308-746-1857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DAWN RENEE DARLING
Title or Position: MEMBER
Credential: LICSW
Phone: 308-746-1857