Provider Demographics
NPI:1780550673
Name:SISTI COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:SISTI COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SISTI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-230-5280
Mailing Address - Street 1:120 HEWETT RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1329
Mailing Address - Country:US
Mailing Address - Phone:757-230-5280
Mailing Address - Fax:
Practice Address - Street 1:120 HEWETT RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1329
Practice Address - Country:US
Practice Address - Phone:757-230-5280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health