Provider Demographics
NPI:1467287557
Name:SISTERS THERAPY LLC
Entity type:Organization
Organization Name:SISTERS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:REVES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-764-5089
Mailing Address - Street 1:4645 WYNDHAM LN STE 240
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0025
Mailing Address - Country:US
Mailing Address - Phone:214-764-5089
Mailing Address - Fax:
Practice Address - Street 1:4645 WYNDHAM LN STE 240
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0025
Practice Address - Country:US
Practice Address - Phone:214-764-5089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1700026716OtherCOUNSELING
TX1740644327OtherCOUNSELING