Tree Of Life Counseling And Training Center, Inc. | |
24500 Center Ridge Rd Ste 110 Westlake OH 44145-5604 | |
(440) 787-6311 | |
Not Available |
Full Name | Tree Of Life Counseling And Training Center, Inc. |
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Speciality | Counselor |
Location | 24500 Center Ridge Rd Ste 110, Westlake, Ohio |
Authorized Official Name and Position | Marva Ann Jones (PRESIDENT AND CEO) |
Authorized Official Contact | 4407876311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tree Of Life Counseling And Training Center, Inc. 24500 Center Ridge Rd Ste 110 Westlake OH 44145-5604 Ph: (440) 787-6311 | Tree Of Life Counseling And Training Center, Inc. 24500 Center Ridge Rd Ste 110 Westlake OH 44145-5604 Ph: (440) 787-6311 |
NPI Number | 1902320203 |
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Provider Enumeration Date | 07/28/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 0547623084 |
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Medicare Enrollment ID | O20230830003215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902320203 | NPI | - | NPPES |
0824657 | Medicaid | OH |
Provider Name | John J Lisy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144921677 PECOS PAC ID: 5395108831 Enrollment ID: I20230830003522 |
Provider Name | Marva Jones |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1376845024 PECOS PAC ID: 8325401862 Enrollment ID: I20240108000377 |
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