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Organization
HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
Active
Organization
HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
Active
Parent organization
HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
Other names
HSCFS- Northrup ES/MS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
Authorized official
DEBBIE MANNERS LCSW (PRESIDENT AND CEO)
(626) 395-7100
Entity
Organization
Contact information
Practice address
409 S ATLANTIC BLVD, ALHAMBRA, CA 91801-3643
(626) 395-7100
Mailing address
100 W WALNUT ST STE 375, PASADENA, CA 91124-0001
(626) 395-7100
(626) 395-7270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
NULL
164X00000X
Licensed Vocational Nurse
—
—
167G00000X
Licensed Psychiatric Technician
—
NULL
167G00000X
Licensed Psychiatric Technician
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
225400000X
Rehabilitation Practitioner
—
NULL
225400000X
Rehabilitation Practitioner
—
—
374700000X
Technician
—
NULL
374700000X
Technician
—
—
Other
Enumeration date
05/28/2019
Last updated
03/31/2023
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