Provider Demographics
NPI:1174381339
Name:SHOULDERS TO LEAN ON INC.
Entity type:Organization
Organization Name:SHOULDERS TO LEAN ON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIKA
Authorized Official - Middle Name:DIONNE MARIE
Authorized Official - Last Name:SHOULDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:661-674-6438
Mailing Address - Street 1:PO BOX 2292
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93539-2292
Mailing Address - Country:US
Mailing Address - Phone:661-674-6438
Mailing Address - Fax:
Practice Address - Street 1:626 W LANCASTER BLVD # 90
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3108
Practice Address - Country:US
Practice Address - Phone:661-674-6438
Practice Address - Fax:661-524-9950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty