Organization
SISTERCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY LOGANS-ALI LCSW, LCDC (OWNER)
(210) 386-2993
Entity
Organization
Contact information
Practice address
6322 SOVEREIGN ST STE 139, SAN ANTONIO, TX 78229-5133
(210) 386-2993
Mailing address
6322 SOVEREIGN ST STE 139, SAN ANTONIO, TX 78229-5133
(210) 386-2993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
36044
TX
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/17/2018
Last updated
11/05/2024
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