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Organization

TREE OF LIFE MENTAL HEALTH SYSTEMS, LLC

Active
Other names
Tree of Life Mental Health Systems, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRENTON KENDYLE HENDERSON (CO-OWNER)
(702) 981-1153
Entity
Organization

Contact information

Practice address
8400 W. VIRGINIA, #1138, PHOENIX, AZ 85037
(702) 981-1153
(702) 974-4555
Mailing address
8400 W VIRGINIA AVE APT 1138, PHOENIX, AZ 85037-8370
(702) 981-1153
(702) 974-4555

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1069350608
NV
05
1609350608
NV
Enumeration date
07/28/2017
Last updated
07/21/2022
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