TREE OF LIFE PROFESSIONAL BEHAVORIAL HEALTH SERVICES NPI 1639299167

NPI Information

NPI: 1639299167
Provider Name: TREE OF LIFE PROFESSIONAL BEHAVORIAL HEALTH SERVICES

Doing Business As: TREE OF LIFE BEHAVIORAL SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
7048 CASTOR AVE
PHILADELPHIA, PA
ZIP 19149
Phone: (215) 533-5433
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TREE OF LIFE PROFESSIONAL BEHAVORIAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in Philadelphia, PA. TREE OF LIFE PROFESSIONAL BEHAVORIAL HEALTH SERVICES NPI is 1639299167. The provider is registered as an organization entity type.
The provider Is Doing Business As Tree Of Life Behavioral Services.

The provider's business location address is:

7048 CASTOR AVE
PHILADELPHIA, PA
ZIP 19149-713
Phone: (215) 533-5433
Fax: (215) 533-5432

The provider's authorized official is Ada L Tuleja .
The authorized official title is Ceo and has the following contact phone number (215) 533-5433.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 1/28/2009.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	132210	PENNSYLVANIA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	132210	PENNSYLVANIA	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	1022413650001	MEDICAID	PENNSYLVANIA

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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