| Let There Be Life Therapy | |
|
672 W 11th St Ste 378 Tracy CA 95376-3821 | |
| (209) 855-0290 | |
| Not Available |
| Full Name | Let There Be Life Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 672 W 11th St Ste 378, Tracy, California |
| Authorized Official Name and Position | Mattie Spires-peppers (CEO) |
| Authorized Official Contact | 2098550290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Let There Be Life Therapy 672 W 11th St Ste 378 Tracy CA 95376-3821 Ph: (209) 855-0290 | Let There Be Life Therapy 672 W 11th St Ste 378 Tracy CA 95376-3821 Ph: (209) 855-0290 |
| NPI Number | 1972201556 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972201556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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