Provider Demographics
NPI:1457818437
Name:GIRLS GOSSIP AND WOMEN NETWORK LLC
Entity Type:Organization
Organization Name:GIRLS GOSSIP AND WOMEN NETWORK LLC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SANIYYAH
Authorized Official - Middle Name:SHALEECE
Authorized Official - Last Name:MAYO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:909-767-3593
Mailing Address - Street 1:12223 HIGHLAND AVE # 106-580
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2574
Mailing Address - Country:US
Mailing Address - Phone:909-767-3593
Mailing Address - Fax:
Practice Address - Street 1:9791 ARROW RTE
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3602
Practice Address - Country:US
Practice Address - Phone:909-767-3593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-26
Last Update Date:2019-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty