Tree of Life Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14635 Issued in FL

Legal business name

TREE OF LIFE COUNSELING LLC

Practice address

2755 E Oakland Park Blvd Ste 302-1
Fort Lauderdale, FL 33306-1637

Phone

(954) 947-0774

Fax

(954) 947-0774

NPI assigned

Aug 29, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandi N Adams, MS, LMHC, CAPNPI 1407232291

Title

Owner

Phone

(954) 947-0774

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandi Adams

  • Mental Health Counselor
  • Pompano Beach, FL
  • NPI 1407232291
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1245757350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 E OAKLAND PARK BLVD STE 255",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061637",
            "telephone_number": "954-947-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 E OAKLAND PARK BLVD STE 302-1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061637",
            "telephone_number": "954-947-0774",
            "fax_number": "954-947-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-947-0774",
        "authorized_official_credential": "MS, LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407232291",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.