Organization
SUNRISE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY LU CN, LMHC (OWNER)
(415) 322-3156
Entity
Organization
Contact information
Practice address
2319 N 45TH ST STE 103, SEATTLE, WA 98103-6947
(415) 322-3156
Mailing address
2319 N 45TH ST STE 103, SEATTLE, WA 98103-6947
(415) 322-3156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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