# THE SHADE TREE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073936639
- **Authorized official:** MRS. MARLENE RICHTER LSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (702) 382-0072

## Contact information

- **Practice address:** 1 W OWENS AVE, NORTH LAS VEGAS, NV 89030-6865
- **Practice address phone:** (702) 385-0072
- **Practice address fax:** (702) 385-2337
- **Mailing address:** PO BOX 669, LAS VEGAS, NV 89125-0669
- **Mailing address phone:** (702) 385-0072
- **Mailing address fax:** (702) 385-2337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 01/31/2014
- **Last updated:** 01/31/2014