# TREE OF LYFE CONSULTING LLC

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

## Provider details

- **NPI number:** 1417786450
- **Authorized official:** DEBREA S BOSTIC (MANAGER)
- **Authorized official phone:** (352) 973-0693

## Contact information

- **Practice address:** 109 EDGE CT, GROVELAND, FL 34736-2520
- **Practice address phone:** (352) 973-0693
- **Mailing address:** 711 W MAIN ST \# 1056, LEESBURG, FL 34748-5128
- **Mailing address phone:** (352) 973-0693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 174H00000X | Health Educator | — | — | — |
| 246RP1900X | Phlebotomy Technician | — | — | — |
| 251B00000X | Case Management Agency | — | — | — |
| 261Q00000X | Clinic/Center | — | — | — |
| 291U00000X | Clinical Medical Laboratory | — | — | — |
| 293D00000X | Physiological Laboratory | — | — | — |

## Other

- **Enumeration date:** 07/29/2024
- **Last updated:** 07/29/2024