Sunstar Creative and Healing Arts

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0159491 Issued in NM

Legal business name

SUNSTAR CREATIVE AND HEALING ARTS

Practice address

4312 Carlisle Blvd NE
Albuquerque, NM 87107-4811

Phone

(505) 977-7336

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Sunny A Laurenne, LPCC

Title

Owner

Phone

(505) 977-7336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1780129866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14866",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871914866",
            "telephone_number": "505-977-7336",
            "fax_number": "505-821-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074811",
            "telephone_number": "505-977-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTAR CREATIVE AND HEALING ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "LAURENNE",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-977-7336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0159491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87670704",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Superior Health Care Inc
• Jeffrey J Supple, DMD
• Robert C Supple, DMD

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.