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Organization
TREE OF LIFE THERAPY LLC
Active
Organization
TREE OF LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY DAWN LISW (DIRECTOR)
(216) 282-4749
Entity
Organization
Contact information
Practice address
398 W BAGLEY RD STE 215, BEREA, OH 44017-1312
(216) 282-4749
Mailing address
34760 CENTER RIDGE RD UNIT 39533, NORTH RIDGEVILLE, OH 44039-4722
(216) 282-4749
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/04/2023
Last updated
01/17/2025
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