Organization
THE SHADE TREE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE RICHTER LSW (EXECUTIVE DIRECTOR)
(702) 382-0072
Entity
Organization
Contact information
Practice address
1 W OWENS AVE, NORTH LAS VEGAS, NV 89030-6865
(702) 385-0072
(702) 385-2337
Mailing address
PO BOX 669, LAS VEGAS, NV 89125-0669
(702) 385-0072
(702) 385-2337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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