Organization
TREE OF LIFE SERVICES, LLC
Active
Other names
TREE OF LIFE SERVICES, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA SUE CHAUDOIN (OWNER/BILLER)
(734) 334-8639
Entity
Organization
Contact information
Practice address
22621 EUCLID ST, SAINT CLAIR SHORES, MI 48082-2447
(734) 334-8636
Mailing address
22621 EUCLID ST, SAINT CLAIR SHORES, MI 48082-2447
(734) 334-8636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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