Organization
SUNRISE BEHAVIORAL HEALTH SERVICE LLC
Active
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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