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Organization
SUNRISE COLLABORATIVE, LLC.
Active
Organization
SUNRISE COLLABORATIVE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RICHARD PHILHOWER MSW, LCSW (OWNER/LICENSED CLINICAL SOCIAL WORK)
(724) 422-3928
Entity
Organization
Contact information
Practice address
1048 PENNSYLVANIA AVE W, WARREN, PA 16365-1838
(724) 422-3928
(814) 313-1075
Mailing address
1048 PENNSYLVANIA AVE W, WARREN, PA 16365-1838
(814) 230-9111
(814) 313-1075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
CW017135
PA
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/22/2016
Last updated
10/06/2020
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