Provider Demographics
NPI:1013111798
Name:SUNSHINE COUNSELING, L.L.C.
Entity type:Organization
Organization Name:SUNSHINE COUNSELING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LUCILLE
Authorized Official - Last Name:SUCHLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC
Authorized Official - Phone:636-295-0228
Mailing Address - Street 1:305 SUCHLAND LN
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MO
Mailing Address - Zip Code:63379-6305
Mailing Address - Country:US
Mailing Address - Phone:636-295-0228
Mailing Address - Fax:636-528-4710
Practice Address - Street 1:102 MOUND ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-1449
Practice Address - Country:US
Practice Address - Phone:636-295-0228
Practice Address - Fax:636-528-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001645101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO498058106Medicaid