# TULIP TREE PEDIATRIC COUNSELING LLC

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

## Provider details

- **NPI number:** 1750286605
- **Authorized official:** LAURA SUMPTER (OWNER)
- **Authorized official phone:** (541) 209-0988

## Contact information

- **Practice address:** 425 N 1ST AVE FL 2, STAYTON, OR 97383-1701
- **Practice address phone:** (541) 209-0988
- **Mailing address:** PO BOX 134, STAYTON, OR 97383-0134
- **Mailing address phone:** (541) 209-0988

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2026
- **Last updated:** 10/12/2026