Organization
A TREE PLANTED, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANELLE HENDERSON (OWNER)
(540) 701-0704
Entity
Organization
Contact information
Practice address
820 CAMPBELL AVE SW, ROANOKE, VA 24016-3536
(540) 701-3704
Mailing address
2107 WESTOVER AVE SW, ROANOKE, VA 24015-2215
(540) 701-0704
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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