# TREE OF LIFE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tree of Life Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407626039
- **Authorized official:** DAVON ANDERSON LMSW (MENTAL HEALTH PROVIDER)
- **Authorized official phone:** (316) 207-2545

## Contact information

- **Practice address:** 815 N WACO AVE STE 35, WICHITA, KS 67203-3928
- **Practice address phone:** (316) 290-9046
- **Mailing address:** 620 N ROCK RD STE 230-122, DERBY, KS 67037-3681
- **Mailing address phone:** (316) 207-2545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2024
- **Last updated:** 06/20/2024