Sunrise Family Therapy Affordable Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG60662041 Issued in WA

Legal business name

SUNRISE FAMILY THERAPY AFFORDABLE FAMILY THERAPY

Practice address

3911 9TH St SW # A211-212
Puyallup, WA 98373-5946

Phone

(253) 777-9782

NPI assigned

Feb 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miles Hall, LMFT MHP CHTNPI 1164829289

Title

President

Phone

(253) 777-9782

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miles Gulliane Hall

  • Mental Health Counselor
  • Puyallup, WA
  • NPI 1164829289
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1427557610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17404 MERIDIAN E # F131",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756234",
            "telephone_number": "253-777-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 9TH ST SW # A211-212",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735946",
            "telephone_number": "253-777-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FAMILY THERAPY AFFORDABLE FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-777-9782",
        "authorized_official_credential": "LMFT MHP CHT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60662041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164829289",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Celez Suratos, RD
• Susan Alexandria Surdez

• Marriage & Family Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.