| Eternal Tree Of Life, Llc | |
|
1117 A St Tacoma WA 98402-5003 | |
| (253) 336-4188 | |
| Not Available |
| Full Name | Eternal Tree Of Life, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1117 A St, Tacoma, Washington |
| Authorized Official Name and Position | Heather Parker (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2533364188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eternal Tree Of Life, Llc 1911 Sw Campus Dr Ste 385 Federal Way WA 98023-6473 Ph: (253) 336-4188 | Eternal Tree Of Life, Llc 1117 A St Tacoma WA 98402-5003 Ph: (253) 336-4188 |
| NPI Number | 1497101158 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497101158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LH 00011066 (Washington) | Primary |
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