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Organization
TREE OF LIFE CARE LLC
Active
Organization
TREE OF LIFE CARE LLC
Active
Other names
Tree of Life Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVON ANDERSON LMSW (MENTAL HEALTH PROVIDER)
(316) 207-2545
Entity
Organization
Contact information
Practice address
815 N WACO AVE STE 35, WICHITA, KS 67203-3928
(316) 290-9046
Mailing address
620 N ROCK RD STE 230-122, DERBY, KS 67037-3681
(316) 207-2545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
06/20/2024
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