Hathaway Sycamores Child and Family Services
Organization Active NPI Mental Health Counselor · Los Angeles, CA
NPI 1225749005 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1225749005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
- Practice address
- 644 W 17TH St
Los Angeles, CA 90015-3400 - Phone
- (626) 395-7100
- NPI assigned
- Dec 12, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
Authorized official
- Name
- Debbie Manners, LCSW
- Title
- President and Ceo
- Phone
- (626) 395-7100
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Hathaway-Sycamores Child Family Services
- Part of
- Hathaway-Sycamores Child Family Services
Locations
644 W 17th St
Los Angeles, CA 90015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Clinical Psychologist |
103TC0700X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Psychiatric/Mental Health Registered Nurse |
163WP0808X | |||
| Licensed Vocational Nurse |
164X00000X | |||
| Licensed Psychiatric Technician |
167G00000X | |||
| Specialist |
174400000X | |||
| Psychiatry Physician |
2084P0800X | |||
| General Practice Physician |
208D00000X | |||
| Rehabilitation Practitioner |
225400000X | |||
| Technician |
374700000X |
Addresses
Primary practice location
644 W 17TH St
Los Angeles, CA 90015-3400
Mailing address
840 N Avenue 66
Los Angeles, CA 90042-1508
Phone (626) 395-7100
Other names
- Sycamores
- HSCFS- Alliance Dr. Olga Mohan High School
Other providers in Los Angeles, CA
- June Kazumi Hatfield
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway-Sycamores Child and Family Services
All providers in Los Angeles, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.