# DREAMING TREE WELLNESS, LLC

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

## Provider details

- **NPI number:** 1730869595
- **Authorized official:** LESLIE TUCKER-GUILFOYLE MED, MSW, LCSW, MAC (MEMBER/OWNER)
- **Authorized official phone:** (804) 924-7173

## Contact information

- **Practice address:** 14321 WINTER BREEZE DR, MIDLOTHIAN, VA 23113-2452
- **Practice address phone:** (804) 924-7173
- **Mailing address:** 14321 WINTER BREEZE DR, MIDLOTHIAN, VA 23113-2452
- **Mailing address phone:** (804) 924-7173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2023
- **Last updated:** 07/18/2023
