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Organization

CHANGING TREE WELLNESS CENTER, LLC

Active
Other names
America Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELLISA SCOTT PHD, LMHC,CAP (CEO/OWNER)
(863) 261-8900
Entity
Organization

Contact information

Practice address
203 SE 2ND AVE, OKEECHOBEE, FL 34974-4305
(863) 261-8900
(863) 279-1156
Mailing address
203 SE 2ND AVE, OKEECHOBEE, FL 34974-4305
(863) 261-8900
(863) 279-1156

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH10761
FL
101YM0800X
Mental Health Counselor
MH10761
FL
101YP2500X
Professional Counselor
Primary
MH10761
FL
102L00000X
Psychoanalyst
MH10761
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003835200
FL
Enumeration date
08/20/2012
Last updated
02/03/2014
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