Organization
SUNRISE BEHAVIORAL HEALTH SERVICE LLC
Active
Other names
BLUE MIND CARE STERLING HEIGHTS MICHIGAN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAHEEL SIDDIQUI (ADMINISTRATOR)
(856) 493-2980
Entity
Organization
Contact information
Practice address
34764 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5279
(856) 493-2980
(888) 573-5557
Mailing address
34764 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5279
(856) 493-2980
(888) 573-5557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/20/2025
Last updated
06/19/2025
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