Healthcare Provider Details

I. General information

NPI: 1982540332
Provider Name (Legal Business Name): PEACE OF WISDOM THERAPY LICENSED CLINICAL SOCIAL WORKER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43537 RIDGE PARK DR STE 100
TEMECULA CA
92590-3613
US

IV. Provider business mailing address

43537 RIDGE PARK DR STE 100
TEMECULA CA
92590-3613
US

V. Phone/Fax

Practice location:
  • Phone: 424-450-3911
  • Fax:
Mailing address:
  • Phone: 424-450-3911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: PAULA PARRA
Title or Position: PRESIDENT/ CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 424-450-3911