Provider Demographics
NPI:1093091092
Name:SISTAHFRIENDS
Entity Type:Organization
Organization Name:SISTAHFRIENDS
Other - Org Name:WOMEN'S COUNSELING AND ELDERCARE MANAGEMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:WHITTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-291-9039
Mailing Address - Street 1:PO BOX 56145
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90056-0145
Mailing Address - Country:US
Mailing Address - Phone:213-291-9039
Mailing Address - Fax:323-291-0195
Practice Address - Street 1:3756 SANTA ROSALIA DR STE 219
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-3616
Practice Address - Country:US
Practice Address - Phone:213-291-9039
Practice Address - Fax:323-291-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-23
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X, 261QM1300X
CALCS 205311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty