| Tree Of Life Mental Health Systems, Llc | |
|
8400 W. Virginia #1138 Phoenix AZ 85037 | |
| (702) 981-1153 | |
| (702) 974-4555 |
| Full Name | Tree Of Life Mental Health Systems, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8400 W. Virginia, Phoenix, Arizona |
| Authorized Official Name and Position | Brenton Kendyle Henderson (CO-OWNER) |
| Authorized Official Contact | 7029811153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Mental Health Systems, Llc 8400 W Virginia Ave Apt 1138 Phoenix AZ 85037-8370 Ph: (702) 981-1153 | Tree Of Life Mental Health Systems, Llc 8400 W. Virginia #1138 Phoenix AZ 85037 Ph: (702) 981-1153 |
| NPI Number | 1922522242 |
|---|---|
| Provider Enumeration Date | 07/28/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922522242 | NPI | - | NPPES |
| 1609350608 | Medicaid | NV | |
| 1069350608 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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