Provider Demographics
NPI:1851823710
Name:HEATHER PARENTI, LICENSED CLINICAL SOCIAL WORKE, I
Entity Type:Organization
Organization Name:HEATHER PARENTI, LICENSED CLINICAL SOCIAL WORKE, I
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PARENTI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:951-805-4025
Mailing Address - Street 1:27710 JEFFERSON AVE
Mailing Address - Street 2:205
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4604
Mailing Address - Country:US
Mailing Address - Phone:951-805-4025
Mailing Address - Fax:951-380-8487
Practice Address - Street 1:27710 JEFFERSON AVE
Practice Address - Street 2:205
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4604
Practice Address - Country:US
Practice Address - Phone:951-805-4025
Practice Address - Fax:951-380-8487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS191941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty