Tree Of Life Care Llc | |
815 N Waco Ave Ste 35 Wichita KS 67203-3928 | |
(316) 290-9046 | |
Not Available |
Full Name | Tree Of Life Care Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 815 N Waco Ave Ste 35, Wichita, Kansas |
Authorized Official Name and Position | Davon Anderson (MENTAL HEALTH PROVIDER) |
Authorized Official Contact | 3162072545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tree Of Life Care Llc 620 N Rock Rd Ste 230-122 Derby KS 67037-3681 Ph: (316) 207-2545 | Tree Of Life Care Llc 815 N Waco Ave Ste 35 Wichita KS 67203-3928 Ph: (316) 290-9046 |
NPI Number | 1407626039 |
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Provider Enumeration Date | 01/04/2024 |
Last Update Date | 06/20/2024 |
Certification Date | 06/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407626039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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