Tree of Life Counseling & Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4510C Issued in AR

Legal business name

TREE OF LIFE COUNSELING & CONSULTING, LLC

Practice address

713 Falls Blvd N
Suite a
Wynne, AR 72396-2208

Phone

(870) 587-7056

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Merideth L Johnson, LCSW

Title

Incorporator/Organizer

Phone

(870) 587-7056

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1356874945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 COUNTY ROAD 225",
            "city": "CHERRY VALLEY",
            "state": "AR",
            "postal_code": "723248760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 FALLS BLVD N",
            "address_2": "SUITE A",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962208",
            "telephone_number": "870-587-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MERIDETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INCORPORATOR/ORGANIZER",
        "authorized_official_telephone_number": "870-587-7056",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4510C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Wynne, AR
• Providers in Wynne, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.