Tree of Life Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TREE OF LIFE SERVICES, LLC

Doing business as

TREE OF LIFE SERVICES, LLC

Practice address

22621 Euclid St
Saint Clair Shores, MI 48082-2447

Phone

(734) 334-8636

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Carla Sue Chaudoin

Title

Owner/Biller

Phone

(734) 334-8639

Specialties & licenses 3

Addresses

Other names 1

• TREE OF LIFE SERVICES, LLC Doing business as

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1508571522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22621 EUCLID ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822447",
            "telephone_number": "734-334-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22621 EUCLID ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822447",
            "telephone_number": "734-334-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "CHAUDOIN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/BILLER",
        "authorized_official_telephone_number": "734-334-8639"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TREE OF LIFE SERVICES, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamison Townsend
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• Transformation Center for Victims of Abuse
• Lauren Traub, FNP
• Jack Trebelhorn, MD
• Carol Trinity
• Kennedy Trombley, RN
• Michael W Trombley, PT
• Angeline Marie Trotto, LLMSW
• Pamela Trulik, LPC

• Psychiatric/Mental Health Nurse Practitioner in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.