| Tree Of Life Healing And Wellness, Llc | |
|
1623 Us Highway #1 Suite A-6 Sebastian FL 32958-3879 | |
| (772) 918-3166 | |
| (772) 918-3411 |
| Full Name | Tree Of Life Healing And Wellness, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1623 Us Highway #1, Sebastian, Florida |
| Authorized Official Name and Position | Vonda Dionne Jones-hudson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7729183166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Healing And Wellness, Llc 1623 Us Highway #1 Suite A-6 Sebastian FL 32958-3879 Ph: (772) 918-3166 | Tree Of Life Healing And Wellness, Llc 1623 Us Highway #1 Suite A-6 Sebastian FL 32958-3879 Ph: (772) 918-3166 |
| NPI Number | 1497219232 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 0648511675 |
|---|---|
| Medicare Enrollment ID | O20190401001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497219232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Vonda Dionne Jones-hudson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508017096 PECOS PAC ID: 0648334466 Enrollment ID: I20190411001352 |
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