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General NPI Number Information
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NPI Number | 1669853339
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Entity Type | Organization
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Legal Business Name | SUNRISE COUNSELING SERVICES NM LLC
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1945 OLD US 66 UNIT B
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City | EDGEWOOD
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State | NM
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Zip | 87015
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Country | US
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Telephone | 505-835-3276
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Fax | 505-835-3276
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Provider Business Mailing Address
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Address Line | PO BOX 3566
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City | MORIARTY
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State | NM
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Zip | 87035-3566
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Country | US
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Telephone | 505-835-3276
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Fax | 505-835-3276
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | MRS. SHARON ANN LAMOREE-LUKASAVAGE
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Credential | MS, LPCC
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Telephone | 505-835-3276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I 2081
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License Number State | NM
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