Tree of Life Care LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TREE OF LIFE CARE LLC

Doing business as

Tree of Life Care LLC

Practice address

815 N Waco Ave Ste 35
Wichita, KS 67203-3928

Phone

(316) 290-9046

NPI assigned

Jan 4, 2024

Last updated

Jun 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Davon Anderson, LMSWNPI 1609425735

Title

Mental Health Provider

Phone

(316) 207-2545

Specialties & licenses 1

Addresses

Other names 1

• Tree of Life Care LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Davon J Anderson, LMSW

  • Social Worker
  • Wichita, KS
  • NPI 1609425735
  NPD Authorized official
• Derion Hubbard

  • Behavior Analyst
  • Wichita, KS
  • NPI 1710721246
  NPD

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1407626039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N ROCK RD STE 230-122",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373681",
            "telephone_number": "316-207-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N WACO AVE STE 35",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033928",
            "telephone_number": "316-290-9046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2549 S Lori St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672101914",
            "country_code": "US",
            "telephone_number": "316-207-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TREE OF LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVON",
        "authorized_official_title_or_position": "MENTAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "316-207-2545",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree of Life Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tree of Life Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyndee Trease, LMFT
• Logan Treaster
• Paula Lynn Trebbe, REGISTERED NURSE
• Marcia D Trebilcock, PT
• Marla Danean Trecek, OTR
• Shelby Jane Treft
• Deborah Tremain, SLP
• Heather Trementozzi
• Keriann Dawn Trent, DPT
• Susan M Trepoy, ARNP

• Mental Health Counselor in Wichita, KS
• Providers in Wichita, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.