Organization
SUNRISE WELLNESS MENTAL HEALTH COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DMYTROW LMHC-D (OWNER)
(917) 952-7576
Entity
Organization
Contact information
Practice address
3974 AMBOY RD STE 207, STATEN ISLAND, NY 10308-2414
(347) 291-1011
Mailing address
3974 AMBOY RD STE 207, STATEN ISLAND, NY 10308-2414
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/09/2025
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