# TREE OF LIFE BEHAVIORAL HEALTH SERVICES PSYCHIATRIC NP, PC

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

## Provider details

- **NPI number:** 1285079137
- **Authorized official:** MRS. ANNE JEANNETTE NANS PNP FPMHNP (CEO)
- **Authorized official phone:** (315) 286-0127

## Contact information

- **Practice address:** 215 WASHINGTON ST, SUITE 221, WATERTOWN, NY 13601-3329
- **Practice address phone:** (315) 286-0127
- **Mailing address:** 215 WASHINGTON ST STE 102, WATERTOWN, NY 13601-3343
- **Mailing address phone:** (315) 286-0127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 7905039 | NY | Yes |

## Other

- **Enumeration date:** 05/06/2013
- **Last updated:** 03/14/2023