Provider Demographics
NPI:1730969460
Name:SUNGLORY VENTURES, INC.
Entity type:Organization
Organization Name:SUNGLORY VENTURES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-395-6532
Mailing Address - Street 1:923 N MARCELLA AVE
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-4465
Mailing Address - Country:US
Mailing Address - Phone:909-395-6532
Mailing Address - Fax:800-901-6070
Practice Address - Street 1:39625 CALLE CABERNET
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4011
Practice Address - Country:US
Practice Address - Phone:800-921-6070
Practice Address - Fax:800-921-6070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty