Provider Demographics
NPI:1932828241
Name:SISTER2SISTER THERAPY
Entity Type:Organization
Organization Name:SISTER2SISTER THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENIA
Authorized Official - Middle Name:CAPRI
Authorized Official - Last Name:QUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC
Authorized Official - Phone:301-531-4910
Mailing Address - Street 1:10501 BRIGHTFIELD LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-2417
Mailing Address - Country:US
Mailing Address - Phone:301-531-4910
Mailing Address - Fax:
Practice Address - Street 1:10501 BRIGHTFIELD LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-2417
Practice Address - Country:US
Practice Address - Phone:301-531-4910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health