Provider Demographics
NPI:1316814320
Name:THE LETS BUILD FOUNDATION
Entity type:Organization
Organization Name:THE LETS BUILD FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIEATA
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:CMHT, BS
Authorized Official - Phone:602-621-6258
Mailing Address - Street 1:9608 W EL CAMINITO DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-7739
Mailing Address - Country:US
Mailing Address - Phone:224-800-1448
Mailing Address - Fax:
Practice Address - Street 1:8335 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6516
Practice Address - Country:US
Practice Address - Phone:224-800-1448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-22
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health