Healthcare Provider Details

I. General information

NPI: 1518804301
Provider Name (Legal Business Name): RISING SUN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 E EXCHANGE PL
SALT LAKE CITY UT
84111-2713
US

IV. Provider business mailing address

898 S STATE ST STE 310
OREM UT
84097-7045
US

V. Phone/Fax

Practice location:
  • Phone: 315-296-6441
  • Fax:
Mailing address:
  • Phone: 315-296-6441
  • Fax:

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: BRITTANY BARRY
Title or Position: OWNER
Credential: CMHC
Phone: 315-296-6441