| Tree Of Life Counseling, Pllc | |
|
1821 Lendew St Greensboro NC 27408-7035 | |
| (336) 288-9190 | |
| (336) 450-4318 |
| Full Name | Tree Of Life Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1821 Lendew St, Greensboro, North Carolina |
| Authorized Official Name and Position | Shana Renee Gordon-cole (OWNER/OPERATOR) |
| Authorized Official Contact | 3362889190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Counseling, Pllc 1821 Lendew St Greensboro NC 27408-7035 Ph: (336) 288-9190 | Tree Of Life Counseling, Pllc 1821 Lendew St Greensboro NC 27408-7035 Ph: (336) 288-9190 |
| NPI Number | 1477819712 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 4688814874 |
|---|---|
| Medicare Enrollment ID | O20130711000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477819712 | NPI | - | NPPES |
| S7803 | Other | NC | NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS |
| Provider Name | Owen Trevor Guess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518360544 PECOS PAC ID: 6103173760 Enrollment ID: I20180727001791 |
| Provider Name | Vanessa Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518518729 PECOS PAC ID: 3375966476 Enrollment ID: I20230605000504 |
| Provider Name | Atlea Byrd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609468560 PECOS PAC ID: 2264891258 Enrollment ID: I20230710000668 |
| Provider Name | Casie Branson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689284333 PECOS PAC ID: 9537529367 Enrollment ID: I20230712001733 |
| Provider Name | Happi Dawn Wrenn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083905392 PECOS PAC ID: 4486004512 Enrollment ID: I20240102001328 |
| Provider Name | Shana Renee Gordon-cole |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1184802266 PECOS PAC ID: 3476793662 Enrollment ID: I20240108000176 |
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