Provider Demographics
NPI:1336648385
Name:SIERRA FAMILY THERAPY CENTERS, INC.
Entity Type:Organization
Organization Name:SIERRA FAMILY THERAPY CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIERRA
Authorized Official - Middle Name:T
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:530-913-5054
Mailing Address - Street 1:673 S AUBURN ST STE B
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-7576
Mailing Address - Country:US
Mailing Address - Phone:530-913-5054
Mailing Address - Fax:844-396-7627
Practice Address - Street 1:673 S AUBURN ST STE B
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-7576
Practice Address - Country:US
Practice Address - Phone:530-913-5054
Practice Address - Fax:844-396-7627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50154106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty