TREE OF LIFE COUNSELING LLC NPI 1245757350

NPI Information

NPI: 1245757350
Provider Name: TREE OF LIFE COUNSELING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2755 E OAKLAND PARK BLVD STE 302-1
FORT LAUDERDALE, FL
ZIP 33306
Phone: (954) 947-0774
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TREE OF LIFE COUNSELING LLC is a mental health counselor in Fort Lauderdale, FL. TREE OF LIFE COUNSELING LLC NPI is 1245757350. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2755 E OAKLAND PARK BLVD STE 302-1
FORT LAUDERDALE, FL
ZIP 33306-637
Phone: (954) 947-0774
Fax: (954) 947-0774

The provider's authorized official is Brandi N Adams .
The authorized official title is Owner and has the following contact phone number (954) 947-0774.

The enumeration date for this NPI number is 8/29/2017 and was last updated on 3/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH14635	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1407232291	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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