| Tree Of Life Therapy Llc | |
|
398 W Bagley Rd Ste 215 Berea OH 44017-1312 | |
| (216) 282-4749 | |
| Not Available |
| Full Name | Tree Of Life Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 398 W Bagley Rd Ste 215, Berea, Ohio |
| Authorized Official Name and Position | Tracy Dawn (DIRECTOR) |
| Authorized Official Contact | 2162824749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Therapy Llc 34760 Center Ridge Rd Unit 39533 North Ridgeville OH 44039-4722 Ph: (216) 282-4749 | Tree Of Life Therapy Llc 398 W Bagley Rd Ste 215 Berea OH 44017-1312 Ph: (216) 282-4749 |
| NPI Number | 1871369579 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Medicare PECOS PAC ID | 8123553047 |
|---|---|
| Medicare Enrollment ID | O20241202000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871369579 | NPI | - | NPPES |
| Provider Name | Tracy Dawn Hromadka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740855295 PECOS PAC ID: 1254721392 Enrollment ID: I20240611001810 |
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