Eternal Tree of Life, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LH 00011066 Issued in WA

Legal business name

ETERNAL TREE OF LIFE, LLC

Practice address

1117 A St
Tacoma, WA 98402-5003

Phone

(253) 336-4188

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Heather Parker, LMHC

Title

Mental Health Counselor

Phone

(253) 336-4188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1497101158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 SW CAMPUS DR STE 385",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980236473",
            "telephone_number": "253-336-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 A ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025003",
            "telephone_number": "253-336-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL TREE OF LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "253-336-4188",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LH 00011066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariben Cristina C Estrada, MD
• Pamela D Estrella
• David Estroff, M.D.
• Judy D Estroff, ARNP
• Et Enterprises, Inc
• Joseph R Etherage, PSYD
• Carl Etienne, OTR
• Leon Ettelson, LMP
• Robert Emil Ettlinger, MD FACP FACR
• Eugene Thomas Etzkorn, M.D.

• Community/Behavioral Health Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.