Organization
LIFE TREE COUNSELING CENTER INCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN MILLS LPC-S, CEAP (OWNER)
(972) 234-6634
Entity
Organization
Contact information
Practice address
14679 MIDWAY RD STE 200, ADDISON, TX 75001-3196
(972) 234-6634
(972) 234-6648
Mailing address
14679 MIDWAY RD STE 200, ADDISON, TX 75001-3196
(972) 234-6634
(972) 234-6648
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
75436
TX
261QM0850X
Adult Mental Health Clinic/Center
75436
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
75436
TX
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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