# JODI L. CARSON NURSE PRACTITIONER IN PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tree of Life Total Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962228973
- **Authorized official:** JODI L CARSON NP (OWNER)
- **Authorized official phone:** (518) 416-0359

## Contact information

- **Practice address:** 939 ROUTE 146 STE 620, CLIFTON PARK, NY 12065-3629
- **Practice address phone:** (518) 414-5706
- **Mailing address:** 641 GROOMS RD \# 130, CLIFTON PARK, NY 12065-5912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2024
- **Last updated:** 01/07/2025