Healthcare Provider Details

I. General information

NPI: 1669853339
Provider Name (Legal Business Name): SUNRISE COUNSELING SERVICES NM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 OLD US 66 UNIT B
EDGEWOOD NM
87015
US

IV. Provider business mailing address

PO BOX 3566
MORIARTY NM
87035-3566
US

V. Phone/Fax

Practice location:
  • Phone: 505-835-3276
  • Fax: 505-835-3276
Mailing address:
  • Phone: 505-835-3276
  • Fax: 505-835-3276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberI 2081
License Number StateNM

VIII. Authorized Official

Name: MRS. SHARON ANN LAMOREE-LUKASAVAGE
Title or Position: CLINICAL THERAPIST
Credential: MS, LPCC
Phone: 505-835-3276