Provider Demographics
NPI:1457158313
Name:LET IT BE THERAPY & COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WO
Entity type:Organization
Organization Name:LET IT BE THERAPY & COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:951-640-2930
Mailing Address - Street 1:28301 VISTA DEL VALLE
Mailing Address - Street 2:
Mailing Address - City:SAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92544-8361
Mailing Address - Country:US
Mailing Address - Phone:951-640-2930
Mailing Address - Fax:
Practice Address - Street 1:41669 WINCHESTER RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4872
Practice Address - Country:US
Practice Address - Phone:951-404-1962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty