| Tree Of Life Counseling Services Llc | |
|
145 Rochdale Dr S Ste F Rochester Hills MI 48309-2275 | |
| (248) 608-4514 | |
| Not Available |
| Full Name | Tree Of Life Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 145 Rochdale Dr S Ste F, Rochester Hills, Michigan |
| Authorized Official Name and Position | Kristen Elise Phillips (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2488942246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Counseling Services Llc 1460 Walton Blvd Ste 60 Rochester Hills MI 48309-1729 Ph: (248) 608-4514 | Tree Of Life Counseling Services Llc 145 Rochdale Dr S Ste F Rochester Hills MI 48309-2275 Ph: (248) 608-4514 |
| NPI Number | 1023537495 |
|---|---|
| Provider Enumeration Date | 09/16/2017 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 4082156856 |
|---|---|
| Medicare Enrollment ID | O20240607001653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023537495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014860 (Michigan) | Primary |
| Provider Name | Kristen Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275935280 PECOS PAC ID: 8426407495 Enrollment ID: I20231215002244 |
| Provider Name | Thomas Michalos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346606423 PECOS PAC ID: 3072055847 Enrollment ID: I20240607002188 |
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