Provider Demographics
NPI:1164157327
Name:LET'S THRIVE FAMILY COUNSELING & CLINICAL SERVICES
Entity Type:Organization
Organization Name:LET'S THRIVE FAMILY COUNSELING & CLINICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, BCBA
Authorized Official - Phone:661-304-3067
Mailing Address - Street 1:4008 MADRID AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7306
Mailing Address - Country:US
Mailing Address - Phone:661-304-3067
Mailing Address - Fax:
Practice Address - Street 1:7232 MING AVE APT A
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3463
Practice Address - Country:US
Practice Address - Phone:661-509-2649
Practice Address - Fax:661-617-6437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty