Provider Demographics
NPI:1558999151
Name:TRIUMPH FAMILY WELLNESS COUNSELING INC.
Entity Type:Organization
Organization Name:TRIUMPH FAMILY WELLNESS COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MARIO
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:424-273-1283
Mailing Address - Street 1:1850 WHITLEY AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-4991
Mailing Address - Country:US
Mailing Address - Phone:424-274-1283
Mailing Address - Fax:
Practice Address - Street 1:3701 STOCKER ST STE 102
Practice Address - Street 2:
Practice Address - City:VIEW PARK
Practice Address - State:CA
Practice Address - Zip Code:90008-5145
Practice Address - Country:US
Practice Address - Phone:424-274-1283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty