Organization
SUNSTAR CREATIVE AND HEALING ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUNNY A LAURENNE LPCC (OWNER)
(505) 977-7336
Entity
Organization
Contact information
Practice address
4312 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 977-7336
Mailing address
PO BOX 14866, ALBUQUERQUE, NM 87191-4866
(505) 977-7336
(505) 821-9837
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0159491
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87670704
—
NM
Enumeration date
12/29/2016
Last updated
12/29/2016
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