Tree of Life for Healing and Wellness

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TREE OF LIFE FOR HEALING AND WELLNESS

Practice address

1623 US Highway #1
Suite a-6
Sebastian, FL 32958-3879

Phone

(772) 918-3166

Fax

(772) 918-3411

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Vonda Dionne Jones-Hudson, PHD, MDIV.NPI 1508017096

Title

Licensed Psychologist

Phone

(772) 918-3166

Specialties & licenses 1

Addresses

Other names 1

• Tree Of Life Healing And Wellness, LLC Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Vonda Dionne Jones-Hudson, PH.D., MDIV.

  • Clinical Psychologist
  • Sebastian, FL
  • NPI 1508017096
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1497219232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 US HIGHWAY #1",
            "address_2": "SUITE A-6",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583879",
            "telephone_number": "772-918-3166",
            "fax_number": "772-918-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 US HIGHWAY #1",
            "address_2": "SUITE A-6",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583879",
            "telephone_number": "772-918-3166",
            "fax_number": "772-918-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE FOR HEALING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "JONES-HUDSON",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "772-918-3166",
        "authorized_official_credential": "PHD, MDIV."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree Of Life Healing And Wellness, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tree Of Life Healing And Wellness, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.