# HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
- **Other names:** Sycamores, HSCFS- Vaughn- Pandaland
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932731080
- **Legal business name:** HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
- **Authorized official:** DEBBIE MANNERS LCSW (CEO)
- **Authorized official phone:** (626) 395-7100

## Contact information

- **Practice address:** 13421 VAUGHN STREET, SAN FERNANDO, CA 91340-2528
- **Practice address phone:** (626) 395-7100
- **Practice address fax:** (626) 395-7270
- **Mailing address:** 840 N AVENUE 66, LOS ANGELES, CA 90042-1508
- **Mailing address phone:** (626) 395-7100
- **Mailing address fax:** (626) 395-7270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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 | — | — | — |
| 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:** 02/06/2020
- **Last updated:** 04/28/2025
