Healthcare Provider Details

I. General information

NPI: 1265263925
Provider Name (Legal Business Name): SUNSET COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

869 LOMA PINON LOOP NE
RIO RANCHO NM
87144-0589
US

IV. Provider business mailing address

1380 RIO RANCHO BLVD SE STE 281
RIO RANCHO NM
87124-1006
US

V. Phone/Fax

Practice location:
  • Phone: 505-269-5159
  • Fax:
Mailing address:
  • Phone:
  • 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: KILEY SCHMEIR-FORRES
Title or Position: OWNER
Credential:
Phone: 505-269-5159