Healthcare Provider Details

I. General information

NPI: 1598617508
Provider Name (Legal Business Name): SISTERS IN ACTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5743 EDGEPARK RD
BALTIMORE MD
21239-3243
US

IV. Provider business mailing address

583 FREDERICK RD SUITE 1A FRONT
CATONSVILLE MD
21228-4768
US

V. Phone/Fax

Practice location:
  • Phone: 443-860-9490
  • Fax: 443-251-2632
Mailing address:
  • Phone: 443-860-9490
  • Fax: 443-251-2632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. WANDA YVETTE COOMBS
Title or Position: CEO
Credential:
Phone: 443-829-1263