Provider Demographics
NPI:1952912255
Name:LET LIGHT IN THERAPY SERVICES LLC
Entity type:Organization
Organization Name:LET LIGHT IN THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AISLINN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:816-730-0949
Mailing Address - Street 1:912 SOUTHWIND CT
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-1542
Mailing Address - Country:US
Mailing Address - Phone:816-730-0949
Mailing Address - Fax:
Practice Address - Street 1:100 CHESTERFIELD BUSINESS PKWY FL 2
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1271
Practice Address - Country:US
Practice Address - Phone:816-663-9916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty